OrganizationActive
Hospice Alliance of Utah, LLC
NPI 1124133855 · Community Based Hospice Care Agency · Logan, UT
Provider details
- NPI number
- 1124133855
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Justin Larsen, Owner/Ceo(435) 753-0707
Specialties & taxonomies
Agencies
Practice location
965 S 100 W
Suite 204
Logan, UT 84321-6062
Phone: (435) 753-0707
Fax: (435) 755-8505
Approximate (ZIP-level) locationGet directions
Mailing address
965 S 100 W
Logan, UT 84321-6062
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.