Organization
SD HEALTH SERVICES LLC
Active
Organization
SD HEALTH SERVICES LLC
Active
Other names
Rocky Mountain Hospice - Green River
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD MIKESELL (BOARD PRESIDENT)
(801) 397-4000
Entity
Organization
Contact information
Practice address
175 RIVER VIEW DR STE A, GREEN RIVER, WY 82935-4811
(307) 875-7976
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 296-9117
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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