| NPI | 1558520213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ADAM LARSEN Administrator 435-757-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |