Organization
BRISTOL HOSPICE - BANGOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (PRESIDENT/CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
824 STILLWATER AVE STE B, BANGOR, ME 04401-3614
(207) 605-9620
(207) 531-3438
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
07/01/2024
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