| Organization Name: | WASATCH REGIONAL HOSPICE |
| NPI Number: | 1902185952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CURTIS W LARSEN (PRESIDENT) |
| Mailing Address: | 2974 W 3500 S Suite 600 West Valley City |
| State: | UT US |
| Postal Code: | 841193630 |
| Phone Number: | 8018490696 |
| Fax Number: | 8015420078 |
| NPI Enumeration Date: | 08/09/2011 |
| NPI Last Update Date: | 03/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |