Organization
ALLIANCE HOME CARE, INC.
Active
Other names
Good Shepherd Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY J. ANDERSON (ADMINISTRATOR)
(801) 277-6474
Entity
Organization
Contact information
Practice address
5383 S 900 E, SALT LAKE CITY, UT 84117-7264
(801) 277-6474
(801) 277-6475
Mailing address
5383 S 900 E, SALT LAKE CITY, UT 84117-7264
(801) 277-6474
(801) 277-6475
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2006-HHA-43191
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810582329001
—
UT
Enumeration date
11/02/2006
Last updated
09/25/2014
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