| NPI | 1851686711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JENKINS Administrator/Member 801-400-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2016-02-16 |