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Organization

5 STAR HOME HEALTH & HOSPICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JORGE GUSTAVO GONZALEZ (OWNER/ADMINISTRATOR)
(801) 753-9130
Entity
Organization

Contact information

Practice address
758 S 400 E, OREM, UT 84097-6322
(801) 753-9130
(801) 312-9379
Mailing address
758 S 400 E, OREM, UT 84097-6322
(801) 753-9130
(801) 312-9379

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
106255
UT

Other

Enumeration date
09/18/2014
Last updated
12/04/2015
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