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Organization

BRISTOL HOSPICE - SAN JOSE, LLC

Active
Parent organization
BRISTOL HOSPICE, L.L.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRISTOL HOSPICE, L.L.C.
Authorized official
MR. HYRUM A KIRTON (PRESIDENT AND CEO)
(801) 656-2769
Entity
Organization

Contact information

Practice address
1879 LUNDY AVE STE 123, SAN JOSE, CA 95131-1877
(408) 324-0700
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 656-2769

Taxonomy

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

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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