NPI | 1730254160 |
---|---|
Doing Business As | INTERMOUNTAIN HEALTH HOME HEALTH OGDEN |
Entity Type | Organization |
Authorized Contact | MARK PROVAN VP Homecare Hospice Palliative Care 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: UT HHA-141) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2025-01-29 |