| NPI | 1679343925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PETERSON Owner/Alternate Administrator 435-274-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |