Organization
BRISTOL HOSPICE - CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (PRESIDENT AND CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
7301 RIVERS AVE STE 160, NORTH CHARLESTON, SC 29406-4650
(843) 823-6510
(843) 948-0780
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
01/09/2025
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