Organization
AMEDISYS UTAH LLC
Active
Other names
Amedisys Home Health of Salt Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1121 E 3900 S STE 115, SALT LAKE CITY, UT 84124-1287
(801) 281-1979
(801) 281-1115
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255573523
—
UT
Enumeration date
04/01/2009
Last updated
12/21/2010
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