Provider Demographics
NPI:1447682034
Name:RELIANCE HOSPICE OF UTAH
Entity type:Organization
Organization Name:RELIANCE HOSPICE OF UTAH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKI
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDDULPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-590-8900
Mailing Address - Street 1:840 W 1700 S
Mailing Address - Street 2:SUITE 13
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84104-1703
Mailing Address - Country:US
Mailing Address - Phone:801-590-8900
Mailing Address - Fax:801-590-8917
Practice Address - Street 1:840 W 1700 S
Practice Address - Street 2:SUITE 13
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-1703
Practice Address - Country:US
Practice Address - Phone:801-590-8900
Practice Address - Fax:801-590-8917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based