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Organization
CAREGIVER SUPPORT NETWORK, INC
Active
Organization
CAREGIVER SUPPORT NETWORK, INC
Active
Other names
Caregiver Support Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS ANN WOODS P.T.A. (VICE PRESIDENT)
(801) 747-2100
Entity
Organization
Contact information
Practice address
404 E 4500 S STE A24, SALT LAKE CITY, UT 84107-2756
(801) 747-2100
(801) 747-2104
Mailing address
404 E 4500 S STE A24, SALT LAKE CITY, UT 84107-2756
(801) 747-2100
(801) 747-2104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004-HHA-20903
UT
363LG0600X
Gerontology Nurse Practitioner
—
UT
Other
Enumeration date
06/25/2005
Last updated
09/20/2022
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