| NPI | 1396507984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA CORBETT Owner 801-694-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-07-17 |