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Organization

BRISTOL HOSPICE - INDIANA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX MAURICIO (PRESIDENT AND CEO)
(801) 325-0175
Entity
Organization

Contact information

Practice address
401 E MAIN ST STE 200, NEW ALBANY, IN 47150-5803
(812) 200-0780
(812) 803-1393
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
07/09/2025
Last updated
07/09/2025
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