Organization
BRISTOL HOSPICE - INDIANAPOLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (PRESIDENT AND CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
51 S PARK BLVD BLDG 1, GREENWOOD, IN 46143-8839
(317) 296-8600
(317) 699-7729
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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