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Organization

DYNAMIC GRACE HOME HEALTH CARE SERVICES,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA O OTIEDE (ADMINISTRATOR)
(801) 703-0658
Entity
Organization

Contact information

Practice address
6510 TAMRA DR, TAYLORSVILLE, UT 84084-5733
(801) 703-0658
Mailing address
6510 TAMRA DR, TAYLORSVILLE, UT 84084-5733
(801) 703-0658

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2011-HHA-102739
UT

Other

Enumeration date
07/01/2011
Last updated
12/20/2011
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