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BRISTOL HOSPICE, L.L.C.

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Company Details

Legal Name: BRISTOL HOSPICE, L.L.C.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: April 12th 2021
Expiration date: 30 Apr 2026
UBI Number: 604 738 467
ZIP code: 98003
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 135 S 336TH ST, FEDERAL WAY, WA, 98003-6350, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 206 N 2100 W, STE. 202, SALT LAKE CITY, UT, 84116-4741, UNITED STATES

Contact Details

E-Mail: REGULATORY@BRISTOLHOSPICE.COM
Phone Number: +1 801-325-0175

Nature of Business

Health Care, Social Assistance & Service Organization, HOSPICE SERVICES ADMINISTRATION

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
ALEX MAURICIO Governing Person
MICHAEL DERRICK Governing Person

National Provider Identifier

NPI Number:
1932781721
Certification Date:
2021-04-22

Authorized Person:

Name:
MR. HYRUM A KIRTON
Role:
PRESIDENT AND CEO
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
8014783533
Fax:
3606343605
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