Organization
TLC HOSPICE
Active
Other names
Tender Care Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK JACOB SQUIRE (OWNER)
(801) 602-1802
Entity
Organization
Contact information
Practice address
503 W 2600 S STE 200, BOUNTIFUL, UT 84010-7717
(801) 294-0560
(801) 992-6590
Mailing address
139 W 2070 S, OREM, UT 84058-7513
(801) 602-1802
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/12/2012
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