| NPI | 1528474723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADAWN RIVERA Owner 801-706-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT 2014-PCA-UT000648) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |