WILLOW CREEK HOSPICE OF UTAH L.L.C. NPI 1306083159

NPI Information

WILLOW CREEK HOSPICE OF UTAH, L.L.C. is a hospice care community based in Holladay, UT. WILLOW CREEK HOSPICE OF UTAH, L.L.C. NPI is 1306083159. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Mountain Hospice.

The provider's business location address is:

5200 S HIGHLAND DR
SUITE 200
HOLLADAY, UT
ZIP 84117-057
Phone: (801) 277-3298
Fax: (801) 277-3598

The provider's authorized official is Trace D. Osborne .
The authorized official title is Manager and has the following contact phone number (801) 272-3298.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 2/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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