Organization
AXIS HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SAMUEL CLARK (ADMINISTRATOR)
(801) 576-6417
Entity
Organization
Contact information
Practice address
383 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 576-6417
(801) 576-7536
Mailing address
383 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 576-6417
(801) 576-7536
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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