| NPI | 1861869091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STAPLES Administrator 801-224-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: UT 2013-PCA-63774) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |