Organization
SUNBROOK HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KLEBERG (VP OF LEGAL AFFAIRS)
(704) 664-2876
Entity
Organization
Contact information
Practice address
5801 FASHION BLVD., SUITE 290, SALT LAKE CITY, UT 84107-6159
(801) 254-5722
(801) 446-8981
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2006-HOSPICE-74555
UT
Other
Enumeration date
09/15/2006
Last updated
05/16/2016
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