NPI 1235353236

Caresource LLC

Organisation Community Based Hospice Care Agency Salt Lake City, UT

Practice location

Address: 1624 E 4500 S, Salt Lake City, UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004

Authorised official

Name: Shawntel Tanner
Title: Administrator
Phone: (801) 266-7200

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 2006-HOSPICE-30731 (UT)

Other Hospice Care, Community Based providers in Utah →

Registry record

NPI: 1235353236
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 16 Mar 2012

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.