| NPI | 1275052870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY LYNE ANDERSEN Owner / Administrator 801-440-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT PCA-UT000735) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |