Caresource LLC
NPI #1235353236 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1235353236
- Entity Type
- Organization
- Organization Name
- Caresource LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Mar 16, 2012
Practice Location
- Address
- 1624 E 4500 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-4212
- Phone
- (801) 266-7200
Authorized Official
- Name
- MRS. SHAWNTEL TANNER, MA
- Title
- ADMINISTRATOR
- Phone
- (801) 266-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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