| NPI | 1386014413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA B TETEBERG Vice President 435-604-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT 1791383102) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |