Organization
ROCKY MOUNTAIN PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAUNICE MINOR (ACCOUNTANT)
(801) 397-4054
Entity
Organization
Contact information
Practice address
576 W 900 S, SUITE 101, WOODS CROSS, UT 84010-8194
(801) 397-4054
(801) 397-4196
Mailing address
576 W 900 S, SUITE 101, WOODS CROSS, UT 84010-8194
(801) 397-4054
(801) 397-4196
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2014-PCA-UT000614
UT
Other
Enumeration date
11/06/2014
Last updated
05/18/2016
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