| NPI | 1730923491 |
|---|---|
| Other Name | MAFASHOMECARE |
| Entity Type | Organization |
| Authorized Contact | LAVERNA F LESA Boss 801-404-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-12-18 |