Organization
WILLOW CREEK HEALTH CARE
Active
Other names
Willow Creek Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACE D OSBORNE CPA (ADMINISTRATOR CFO)
(801) 281-9669
Entity
Organization
Contact information
Practice address
1935 VINE ST, SUITE 420, SALT LAKE CITY, UT 84121-2192
(801) 281-9669
(801) 281-0179
Mailing address
1935 VINE ST, SUITE 420, SALT LAKE CITY, UT 84121-2192
(801) 281-9669
(801) 281-0179
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
UT
Other
Enumeration date
08/09/2005
Last updated
07/31/2007
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