Organization
UTAH COUNTY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD WILLDER (PRESIDENT)
(801) 696-4418
Entity
Organization
Contact information
Practice address
2230 N UNIVERSITY PKWY STE 4A, PROVO, UT 84604-6716
(801) 696-4418
Mailing address
2230 N UNIVERSITY PKWY STE 4A, PROVO, UT 84604-6716
(801) 696-4418
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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