Organization
DIANE PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLGHEN MARVIN OCEAN SAINTELUS (ADMINISTRATOR)
(801) 889-0514
Entity
Organization
Contact information
Practice address
154 W 600 S UNIT 231, SLC, UT 84101-2782
(801) 889-0514
Mailing address
154 W 600 S UNIT 231, SLC, UT 84101-2782
(801) 889-0514
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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