| NPI | 1023170214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKSON KASUE Administrator 801-694-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 2005-HHA-58509) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |