| NPI | 1124410311 |
|---|---|
| Doing Business As | HOME INSTEAD SENIOR CARE #109 |
| Entity Type | Organization |
| Authorized Contact | OUSSAMA DAVIS Managing Owner 801-266-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT 2014-PCA-42983) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |