Organization
HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN LARSEN (OWNER/CEO)
(435) 753-0707
Entity
Organization
Contact information
Practice address
965 E 700 S, SUITE 201, ST GEORGE, UT 84790-4082
(435) 656-2889
(435) 656-2877
Mailing address
965 S 100 W STE 204, LOGAN, UT 84321-6072
(435) 753-0707
(435) 755-8505
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2006-HOSPICE-67900
UT
Other
Enumeration date
08/21/2006
Last updated
11/08/2010
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