Organization
ACCESS HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD MANGUM BSN (CLINICAL ADMINISTRATOR/OWNER)
(435) 755-6548
Entity
Organization
Contact information
Practice address
102293 HWY 89, THAYNE, WY 83127
(435) 755-6599
(435) 755-6548
Mailing address
74 W 100 N, LOGAN, UT 84321-4506
(435) 755-6599
(435) 755-6548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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