Provider Demographics
NPI:1992545198
Name:TRUE NORTH HOME HEALTH AND HOSPICE
Entity type:Organization
Organization Name:TRUE NORTH HOME HEALTH AND HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-628-1452
Mailing Address - Street 1:6084 S SUMMIT VISTA BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-3216
Mailing Address - Country:US
Mailing Address - Phone:801-922-4790
Mailing Address - Fax:
Practice Address - Street 1:6084 S SUMMIT VISTA BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-3216
Practice Address - Country:US
Practice Address - Phone:801-922-4790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSION HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-28
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based