CARESOURCE CHARITABLE ASSOCIATION NPI 1932656923

NPI Information

CARESOURCE CHARITABLE ASSOCIATION is a hospice care community based in Park City, UT. CARESOURCE CHARITABLE ASSOCIATION NPI is 1932656923. The provider is registered as an organization entity type.
The provider Is Doing Business As Caresource Hospice At Home.

The provider's business location address is:

750 KEARNS BLVD # 200
PARK CITY, UT
ZIP 84060-137
Phone: (801) 266-7200
Fax: (801) 266-7004

The provider's authorized official is Shawntel Yates Tanner .
The authorized official title is Administrator and has the following contact phone number (801) 266-7200.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 11/14/2016.

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:

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