Organization
LEGACY RIVER HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCHRADER (ADMINISTRATOR)
(801) 898-0793
Entity
Organization
Contact information
Practice address
11578 BLUEROCK AVE, SOUTH JORDAN, UT 84095-5042
(801) 898-0793
Mailing address
11578 BLUEROCK AVE, SOUTH JORDAN, UT 84095-5042
(801) 898-0793
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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