| NPI | 1275690489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLUE SMART Office Manager 801-295-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-14 |