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Organization
HOMETOWN PERSONAL CARE SERVICES
Active
Organization
HOMETOWN PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE J RUNOLFSON RN (OWNER/OPERATOR)
(801) 234-9722
Entity
Organization
Contact information
Practice address
050 S 1500 W, MANTI, UT 84642
(801) 234-9722
(877) 586-1196
Mailing address
PO BOX 286, MANTI, UT 84642-0286
(801) 234-9722
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4073349
—
UT
Enumeration date
11/11/2021
Last updated
11/12/2021
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