NPI | 1598749798 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SAMUEL CLARK Owner Admin 801-608-3882 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: UT 2004-HHA-42117) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2022-06-23 |