| NPI | 1902078108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN R TUCKER Branch Manager 801-456-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 2007-HHA-69384) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |