NPI | 1073790655 |
---|---|
Doing Business As | COLBREN FAMILY CARE |
Entity Type | Organization |
Authorized Contact | BRENT K DEMILLE President/Owner 435-656-4515 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: UT 13428) |
Enumeration Date | 2008-01-26 |
Last Update Date | 2008-01-26 |