NPI | 1104208412 |
---|---|
Doing Business As | ONSITE CARE |
Entity Type | Organization |
Authorized Contact | DARCE LATSIS Program Manager 801-441-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 94364441725) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2020-01-30 |