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Organization

HOME FREEDOM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARITY SUE DAVIS OTRL (MANAGER)
(801) 814-3303
Entity
Organization

Contact information

Practice address
3448 S 5100 W, WEST HAVEN, UT 84401-9435
(801) 814-3303
Mailing address
3448 S 5100 W, WEST HAVEN, UT 84401-9435
(801) 814-3303

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225X00000X
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720018294
CHARITY DAVIS NPI
UT
Enumeration date
11/30/2006
Last updated
08/22/2020
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