Organization
CLINICIANS AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN F FALLERT (PRESIDENT/CEO)
(801) 232-0010
Entity
Organization
Contact information
Practice address
903 CARNATION DR, SANDY, UT 84094-4532
(801) 232-0010
Mailing address
903 CARNATION DR, SANDY, UT 84094-4532
(801) 232-0010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6917817-0160
UT
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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