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Organization
HOME FREEDOM LLC
Active
Organization
HOME FREEDOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITY SUE DAVIS OTRL (MANAGER)
(801) 814-3303
Entity
Organization
Contact information
Practice address
3448 S 5100 W, WEST HAVEN, UT 84401-9435
(801) 814-3303
Mailing address
3448 S 5100 W, WEST HAVEN, UT 84401-9435
(801) 814-3303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225X00000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720018294
CHARITY DAVIS NPI
UT
Enumeration date
11/30/2006
Last updated
08/22/2020
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