Organization
WILLOW CREEK HOME CARE OF ST. GEORGE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACE D. OSBORNE C.P.A. (REGISTERED AGENT)
(801) 281-9669
Entity
Organization
Contact information
Practice address
229 E SAINT GEORGE BLVD, ST GEORGE, UT 84770-2970
(888) 394-5569
Mailing address
1935 VINE ST, SUITE 420, SALT LAKE CITY, UT 84121-2192
(801) 281-9669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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