Lighthouse Hospice Llc

NPI 1093865586 - Hospice Care, Community Based - 251G00000X

NPI Details
NPI 1093865586
Enumeration Date 01/10/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEITH WILLIAM KEITH
Position CEO, ADMINISTRATOR
Phone (801) 562-2273
Fax
Practice Location
6794 S 1300 E
SALT LAKE CITY UT, 84121-2719, US
Phone (801) 562-2273
Fax
Business Location
6794 S. 1300 E.
SALT LAKE CITY UT, 84121-2719, US
Phone (801) 562-2273
Fax
Toxanomy
Taxonomy Code 251G00000X
License State Utah
License Number V15693
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According to our database, Lighthouse Hospice Llc NPI is 1093865586, taxonomy code is 251G00000X and license number is V15693, license state is located at Utah. Lighthouse Hospice Llc physically located at 6794 S 1300 E, Salt Lake City UT, 84121-2719. NPI Number 1033115704 has the healthcare provider type.

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1093865586 NPI number is provided on an as is basis without warranty of any kind. 1093865586 is maintained by the National Plan & Provider Enumeration System. The contents of Lighthouse Hospice Llc are for informational purposes only.