Lodge by Valeo, LLC

NPI #1386196194 in Salt Lake City, Utah

Provider Information

NPI Number: 1386196194
Entity Type: Organization
Organization Name: Lodge by Valeo, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EDURO HEALTHCARE, LLC
Primary Specialty: Hospice, Inpatient
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 1624 E 4500 S
City: Salt Lake City
State: Utah
ZIP Code: 84117-4212
Phone: (801) 639-0020

Authorized Official

Name: BRIAN J RAMOS
Title: MANAGING PARTNER
Phone: (801) 601-1450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice, Inpatient	315D00000X	Primary

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