Whalio Doctors

NPI 1093865586

Lighthouse Hospice LLC

Organisation Community Based Hospice Care Agency Salt Lake City, UT

Practice location

Address
6794 S 1300 E, Salt Lake City, UT 84121-2719
Phone
(801) 562-2273
Mailing address
6794 S. 1300 E., Salt Lake City, UT 84121-2719

Authorised official

Name
Keith William Weaver
Title
Ceo, Administrator
Phone
(801) 562-2273

Registered specialties

Community Based Hospice Care Agency Primary
Agencies Taxonomy 251G00000X Licence V15693 (UT)

Registry record

NPI
1093865586
Entity type
Organization
NPI issued
10 Jan 2007
Record last updated
22 Aug 2020

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.