| NPI | 1215938469 |
|---|---|
| Doing Business As | WILLOW CREEK HOME CARE |
| Entity Type | Organization |
| Authorized Contact | TRACE D OSBORNE Administrator CFO 801-281-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 2004-HHA-17564) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-31 |