| NPI | 1558436980 |
|---|---|
| Doing Business As | INTERMOUNTAIN HOMECARE HOME HEALTH LOGAN |
| Entity Type | Organization |
| Authorized Contact | JOEL MACEY Executive Director 385-887-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-01-07 |