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Organization

BRISTOL HOSPICE - GREEN BAY, 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
MR. ALEX MAURICIO (PRESIDENT AND CEO)
(801) 325-0175
Entity
Organization

Contact information

Practice address
2450 VELP AVE STE 101, GREEN BAY, WI 54303-6593
(920) 278-2499
(920) 328-9052
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
03/26/2021
Last updated
02/27/2026
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