Organization
SQUIRE BOYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SQUIRE (ADMINISTRATOR)
(801) 602-1802
Entity
Organization
Contact information
Practice address
415 MEDICAL DR STE C102, BOUNTIFUL, UT 84010-8902
(801) 335-0522
(801) 335-0523
Mailing address
415 MEDICAL DR STE C102, BOUNTIFUL, UT 84010-8902
(801) 335-0522
(801) 335-0523
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2012-HOSPICE-92677
UT
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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