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Organization
PINE MOUNTAIN HOME HEALTH, LLC
Active
Organization
PINE MOUNTAIN HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACE D. OSBORNE CPA (ACCOUNTANT)
(801) 277-3298
Entity
Organization
Contact information
Practice address
5200 HIGHLAND DR, SUITE 200, HOLLADAY, UT 84117-7057
(801) 277-3298
(801) 277-3598
Mailing address
5200 HIGHLAND DR, SUITE 200, HOLLADAY, UT 84117-7057
(801) 277-3298
(801) 277-3598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
02/21/2014
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