Organization
BRISTOL HOSPICE - STATE COLLEGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (PRESIDENT/CEO)
(801) 325-0175
Entity
Organization
Contact information
Practice address
170 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7674
(814) 201-7300
(814) 737-0993
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
01/26/2024
Last updated
09/03/2024
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