Organization
BRISTOL HOSPICE - INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (PRESIDENT & CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
8585 BROADWAY STE 780, MERRILLVILLE, IN 46410-5662
(219) 233-5900
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
03/10/2026
Last updated
03/10/2026
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