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Organization
THATCHER BROOK HOME HEALTH CARE, INC
Active
Organization
THATCHER BROOK HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVEN B PETTIT (OWNER)
(801) 546-4368
Entity
Organization
Contact information
Practice address
1133 N MAIN ST, SUITE 100, LAYTON, UT 84041-4800
(801) 546-4368
(801) 546-1053
Mailing address
360 S STATE ST, SUITE B, CLEARFIELD, UT 84015-1892
(801) 546-4368
(801) 546-1053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043335029
—
UT
Enumeration date
03/20/2007
Last updated
10/15/2008
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