Organization
ANGELS CROSSING HOME HOSPICE PLLC
Active
Organization
ANGELS CROSSING HOME HOSPICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAILE SUE TAVAKE REGISTERED NURSE (MEMBER)
(801) 428-1060
Entity
Organization
Contact information
Practice address
2480 S MAIN ST, SUITE 200, SALT LAKE CITY, UT 84115-3058
(801) 428-1060
(801) 855-5908
Mailing address
2480 S MAIN ST, SUITE 200, SALT LAKE CITY, UT 84115-3058
(801) 428-1060
(801) 855-5908
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
05/07/2018
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