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Organization
GRANDEE VILLAGE HOME HEALTH CARE SERVICES LLC
Active
Organization
GRANDEE VILLAGE HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON SINJU (PRESIDENT)
(801) 755-0296
Entity
Organization
Contact information
Practice address
3712 S GOLDEN GRAIN CIR, SALT LAKE CITY, UT 84120-3393
(801) 755-0296
Mailing address
3712 S GOLDEN GRAIN CIR, SALT LAKE CITY, UT 84120-3393
(801) 755-0296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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