Organization
HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN L LARSEN (CEO/OWNER)
(435) 753-3133
Entity
Organization
Contact information
Practice address
491 E RIVERSIDE DR STE 3B, ST GEORGE, UT 84790-7057
(435) 656-2889
(435) 656-2877
Mailing address
491 EAST RIVERDALE DR, #3B, ST.GEORGE, UT 84790-7057
(435) 656-2889
(435) 656-2877
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
79732
UT
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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