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Organization

CANYON CREEK HOME HEALTH CARE LLC

Active
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Organization

CANYON CREEK HOME HEALTH CARE LLC

Active
Other names
Premier Home Health Utah
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL COSBY HFA (OWNER)
(801) 251-1595
Entity
Organization

Contact information

Practice address
3443 S STATE ST STE 9, SOUTH SALT LAKE, UT 84115-4914
(801) 251-1595
(801) 251-1599
Mailing address
3443 S STATE ST STE 9, SOUTH SALT LAKE, UT 84115-4914
(801) 251-1595
(801) 251-1599

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2006-HHA-75037
UT
251E00000X
Home Health Agency
2011-HHA-75037
UT
251E00000X
Home Health Agency
2013-HHA-75037
UT
251E00000X
Home Health Agency
Primary
2015-HHA-75037
UT

Other

Enumeration date
05/19/2006
Last updated
04/17/2019
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