Organization
BCBU, INC.
Active
Other names
Rocky Mountain Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE D SAMUELSON (BOARD PRESIDENT)
(018) 397-4100
Entity
Organization
Contact information
Practice address
576 W 900 S STE 105, WOODS CROSS, UT 84010-8232
(801) 525-4800
(801) 776-6624
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 296-9117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004-HHA-569
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870334077011
—
UT
Enumeration date
07/08/2005
Last updated
01/18/2022
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