| NPI | 1952613192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DAVIN FONNESBECK Administrative Director 435-752-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 77027310170) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2010-07-03 |