Organization
ANGELS CROSSING HOSPICE AND HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIONE TAVAKE (SHAREHOLDER)
(801) 916-0918
Entity
Organization
Contact information
Practice address
998074. TAFUNA VI., PAGO PAGO, AS 96799
(684) 254-7940
Mailing address
2480 S MAIN ST STE 205, SOUTH SALT LAKE, UT 84115-5005
(801) 916-0918
(801) 485-3750
Taxonomy
Speciality
Code
Description
License number
State
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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