| NPI | 1073991410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RAYMOND TRUDEL President 801-891-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 4866189-1205) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: UT 4866189-1205) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-10-28 |