NPI 1831951706

Bristol Hospice - State College, LLC

Organisation Community Based Hospice Care Agency State College, PA

Practice location

Address: 170 Rolling Ridge Dr, State College, PA 16801-7674
Phone: (814) 201-7300
Fax: (814) 737-0993
Mailing address: 206 N 2100 W STE 202, Salt Lake City, UT 84116-4741

Authorised official

Name: Alex Mauricio
Title: President/Ceo
Phone: (801) 325-0175

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

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Registry record

NPI: 1831951706
Entity type: Organization
NPI issued: 26 Jan 2024
Record last updated: 3 Sep 2024

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.