Organization
SUMMIT HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BORNELEIT (CFO)
(808) 372-6336
Entity
Organization
Contact information
Practice address
141 UNION BLVD, SUITE 320, LAKEWOOD, CO 80228-1814
(808) 372-6336
Mailing address
1214 E 33RD ST, TULSA, OK 74105-2018
(808) 372-6336
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CO
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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