Organization
PACK.CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KELSON (DIRECTOR OF SALES)
(801) 836-1349
Entity
Organization
Contact information
Practice address
14287 US HIGHWAY 189, BONDURANT, WY 82922
(801) 836-1349
Mailing address
14287 US HIGHWAY 189, BONDURANT, WY 82922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/17/2023
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