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Organization

IRON COUNTY HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAREE K PRINCE RN BSN (ADMINISTRATOR)
(435) 586-3939
Entity
Organization

Contact information

Practice address
429 W 400 S, CEDAR CITY, UT 84720-3199
(435) 586-3939
(435) 586-8275
Mailing address
965 S MAIN ST, SUITE 4, CEDAR CITY, UT 84720-4383
(435) 586-3939
(435) 586-8275

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MPRN 2004-HHA-139
UT
376J00000X
Homemaker
2004-HHA-139
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87-6000310005
UT
Enumeration date
08/17/2005
Last updated
07/09/2009
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