Organization
HOMESPIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL STANLEY (VP)
(952) 223-4718
Entity
Organization
Contact information
Practice address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(801) 503-3200
Mailing address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2018-HHA-UT000841
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-HHA-UT000841
UTAH DEPARTMENT OF HEALTH
UT
Enumeration date
03/21/2018
Last updated
03/21/2018
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