Organization
HIGH DESERT HOSPICE LLC
Active
Organization
HIGH DESERT HOSPICE LLC
Active
Other names
Bristol Hospice - Klamath Falls
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MAURICIO (CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
2210 SHALLOCK AVENUE, KLAMATH FALLS, OR 97601-4290
(541) 882-1636
(541) 882-1799
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
(801) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
OR
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028060
—
OR
Enumeration date
11/19/2005
Last updated
09/24/2025
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