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Organization
SQUIRE BOYS, INC.
Active
Organization
SQUIRE BOYS, INC.
Active
Other names
Mountain Region Hospice and Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NIELSON (ADMINISTRATOR)
(801) 842-9987
Entity
Organization
Contact information
Practice address
9138 S STATE ST STE 102, SANDY, UT 84070-2677
(801) 438-6285
(801) 438-6286
Mailing address
9138 S STATE ST STE 102, SANDY, UT 84070-2677
(801) 438-6285
(801) 438-6286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2012-HHA-92679
UT
Other
Enumeration date
08/01/2013
Last updated
05/21/2020
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