| NPI | 1164959029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BELDON HICKMAN Executive Director 801-785-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT 2017-PCA-UT000567) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |