Organization
LIFE CARE AT HOME OF UTAH, INC.
Active
Other names
AFFINITY HOSPICE OF LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
PAM RAU (VICE PRESIDENT FINANCE)
(423) 473-5280
Entity
Organization
Contact information
Practice address
2200 WEST PARKWAY BLVD, STE 200, SALT LAKE CITY, UT 84119-2099
(801) 973-0217
(801) 973-0229
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5280
(423) 339-8369
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2005-HOSPICE-66167
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505837
—
NV
05
—
100509587
—
NV
Enumeration date
06/17/2005
Last updated
01/24/2013
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