| NPI | 1235531583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GUSTAVO GONZALEZ Owner/Administrator 801-753-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 106255) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2015-12-04 |