Angels Crossing Home Hospice Pllc

NPI #1023265451 in Salt Lake City, Utah

Provider Information

NPI Number: 1023265451
Entity Type: Organization
Organization Name: Angels Crossing Home Hospice Pllc
Primary Specialty: Hospice, Inpatient
Enumeration Date: Aug 27, 2008
Last Updated: May 7, 2018

Practice Location

Address: 2480 S MAIN ST
Address 2: SUITE 200
City: Salt Lake City
State: Utah
ZIP Code: 84115-3058
Phone: (801) 428-1060

Authorized Official

Name: MRS. MAILE SUE TAVAKE, REGISTERED NURSE
Title: MEMBER
Phone: (801) 428-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice, Inpatient	315D00000X	Primary

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