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Organization

ROCKY MOUNTAIN CARE - PALLIATIVE CARE LLC

Active
Parent organization
SENIOR HEALTH LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SENIOR HEALTH LLC
Authorized official
EDWARD BANGERTER (AUTHORIZED OFFICIAL)
(801) 397-4101
Entity
Organization

Contact information

Practice address
598 W 900 S STE 105, WOODS CROSS, UT 84010-8329
(801) 693-2380
(801) 693-2379
Mailing address
598 W 900 S STE 105, WOODS CROSS, UT 84010-8329
(801) 693-2380
(801) 693-2379

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/09/2021
Last updated
02/18/2025
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