| NPI | 1053006064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON N UDY Owner/Director 801-592-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |