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Organization

BRISTOL HOSPICE - UTAH, L.L.C.

Active
Parent organization
BRISTOL HOSPICE, L.L.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRISTOL HOSPICE, L.L.C.
Authorized official
ALEX MAURICIO (PRESIDENT/CEO)
(801) 325-0175
Entity
Organization

Contact information

Practice address
1638 N WASHINGTON BLVD, OGDEN, UT 84404-3763
(801) 924-0867
(801) 747-3864
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
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164527792
UT
Enumeration date
09/14/2006
Last updated
02/23/2026
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