Organization
UTAH HOME HEALTH AND HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED COLLETTE (VP OF FINANCE)
(801) 335-6455
Entity
Organization
Contact information
Practice address
920 W HERITAGE PARK BLVD SUITE 120, LAYTON, UT 84041
(801) 335-6455
(801) 377-2386
Mailing address
PO BOX 1052, PROVO, UT 84603-1052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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