Organization
GOOD SHEPHERD HOME CARE AND HOSPICE, INC.
Active
Organization
GOOD SHEPHERD HOME CARE AND HOSPICE, INC.
Active
Parent organization
GOOD SHEPHERD HOMECARE AND HOSPICE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD HOMECARE AND HOSPICE, INC
Authorized official
MR. SCOTT JOLLEY (PRESIDENT)
(801) 277-6474
Entity
Organization
Contact information
Practice address
5383 S 900 E, STE 102, SALT LAKE CITY, UT 84117-7249
(801) 277-6474
(801) 277-6475
Mailing address
5383 S 900 E, STE 102, SALT LAKE CITY, UT 84117-7249
(801) 277-6474
(801) 277-6475
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2005-HOSPICE-54976
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810582329002
—
UT
Enumeration date
10/05/2006
Last updated
03/31/2011
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