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Organization

LODGE BY VALEO, LLC

Active
Parent organization
EDURO HEALTHCARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDURO HEALTHCARE, LLC
Authorized official
BRIAN J RAMOS (MANAGING PARTNER)
(801) 601-1450
Entity
Organization

Contact information

Practice address
1624 E 4500 S, SALT LAKE CITY, UT 84117-4212
(801) 639-0020
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
(801) 639-0020

Taxonomy

Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary

Other

Enumeration date
10/27/2016
Last updated
10/27/2016
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