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NPI Code Detail

MEDICARE: LIFEPATH HOSPICE AND FAMILY CARE, LLC

MEDICARE: LIFEPATH HOSPICE AND FAMILY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency002501UT

General Provider Information

NPI Number : 1255331724
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEPATH HOSPICE AND FAMILY CARE, LLC
Provider Business Mailing Address
First Line : 655 BRAWLEY SCHOOL RD
Second Line : SUITE 200
City : MOORESVILLE
State : NC
Zip : 28117-9125
Country : US
Telephone Number : 704-664-2876
Fax Number : 704-664-1306
Provider Business Practice Location Address
First Line : 5133 S 1500 W
Second Line :
City : RIVERDALE
State : UT
Zip : 84405-3926
Country : US
Telephone Number : 801-293-0444
Fax Number : 801-263-9929
Authorized Official
Title or Position : GENERAL COUNSEL/SEC
Name : DOUGLAS J ABELL
Credential :
Telephone Number : 704-664-2876
Provider Enumeration Date : 07/27/2005
Last Update Date : 12/31/2014

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Directions to “LIFEPATH HOSPICE AND FAMILY CARE, LLC ” Practice Location

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