Organization
5 STAR HOME HEALTH & HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO GONZALEZ (ADMINISTRATOR)
(801) 753-9130
Entity
Organization
Contact information
Practice address
758 S 400 E, OREM, UT 84097-6322
(801) 753-9130
(801) 312-9379
Mailing address
758 S 400 E, OREM, UT 84097-6322
(801) 753-9130
(801) 312-9379
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
106230
UT
Other
Enumeration date
01/30/2012
Last updated
08/16/2016
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