Organization
ACE OF HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE MARIA ROMERO (OWNER)
(801) 675-6597
Entity
Organization
Contact information
Practice address
1035 W 4250 S, RIVERDALE, UT 84405-3318
(801) 675-6597
Mailing address
1035 W 4250 S, RIVERDALE, UT 84405-3318
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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