| NPI | 1801445747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN MEHLHOFF Director 801-550-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-08-11 |