NPI 1053746594

Pine Mountain Home Health, LLC

Organisation Community Based Hospice Care Agency Tooele, UT

Practice location

Address: 1244 N Main St Suite 103, Tooele, UT 84074-9838
Phone: (435) 248-0771
Fax: (435) 248-0777
Mailing address: 5200 S Highland Dr Suite 200, Holladay, UT 84117-7057

Authorised official

Name: Trace D. Osborne
Title: Accountant
Phone: (801) 277-3298

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Utah →

Registry record

NPI: 1053746594
Entity type: Organization
NPI issued: 3 Sep 2013
Record last updated: 21 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.