| Palliative Care-home Based | |
|
11520 S Redwood Rd South Jordan UT 84095-7805 | |
| (385) 887-6000 | |
| Not Available |
| Full Name | Palliative Care-home Based |
|---|---|
| Speciality | Clinic/center |
| Location | 11520 S Redwood Rd, South Jordan, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP CHIEF EXEC PHYS/MG PRES) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Care-home Based Po Box 27128 Salt Lake City UT 84127-0128 Ph: (385) 887-6000 | Palliative Care-home Based 11520 S Redwood Rd South Jordan UT 84095-7805 Ph: (385) 887-6000 |
| NPI Number | 1386150597 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386150597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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