Organization
SQUIRE BOYS, INC.
Active
Other names
Mountain Region Hospice and Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NIELSON (ADMINISTRATOR)
(801) 842-9987
Entity
Organization
Contact information
Practice address
9138 S STATE ST STE 102, SANDY, UT 84070-2677
(801) 438-6285
(801) 438-6286
Mailing address
9138 S STATE ST STE 102, SANDY, UT 84070-2677
(801) 438-6285
(801) 438-6286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2012-HHA-92679
UT
Other
Enumeration date
08/01/2013
Last updated
05/21/2020
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