# UTAH HOME HEALTH AND HOSPICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356868319
- **Authorized official:** JARED COLLETTE (VP OF FINANCE)
- **Authorized official phone:** (801) 335-6455

## Contact information

- **Practice address:** 920 W HERITAGE PARK BLVD SUITE 120, LAYTON, UT 84041
- **Practice address phone:** (801) 335-6455
- **Practice address fax:** (801) 377-2386
- **Mailing address:** PO BOX 1052, PROVO, UT 84603-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 08/29/2017