| NPI | 1346587698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. SUMSION Home Care Director 801-642-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 2012-HHA-97078) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT 2012-HHA-97078) |
| 251B00000X Case Management (Licence: UT 2012-HHA-97078) | |
| 251C00000X (Licence: UT 2012-HHA-97078) | |
| 251S00000X Community/Behavioral Health (Licence: UT 2012-HHA-97078) | |
| 253Z00000X In Home Supportive Care (Licence: UT 2012-HHA-97078) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |