| NPI | 1477903375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GUSTAVO GONZALEZ Administrator 801-921-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 2016-HHA-UT000763) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-06-20 |