NPI | 1902113715 |
---|---|
Doing Business As | INTERMOUNTAIN HEALTH HOME MEDICAL EQUIPMENT BOUNTIFUL |
Entity Type | Organization |
Authorized Contact | MARK PROVAN VP Homecare Hospice Palliative Care 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-09-01 |
Last Update Date | 2025-01-29 |