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Organization

SIGNATURE HOSPICE SALT LAKE CITY, LLC

Active
Other names
Signature Healthcare at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KOFSTAD NP (DIVISION PRESIDENT)
(971) 224-2033
Entity
Organization

Contact information

Practice address
5965 S 900 E STE 200, MURRAY, UT 84121-1854
(801) 463-2478
(801) 486-0961
Mailing address
25117 SW PARKWAY AVE STE F, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/11/2021
Last updated
11/13/2025
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