Organization
UTAH COMMUNITY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE GUSTAVO GONZALEZ (ADMINISTRATOR)
(801) 921-0270
Entity
Organization
Contact information
Practice address
1561 W 7000 S, WEST JORDAN, UT 84084-3556
(801) 921-0270
(801) 747-6881
Mailing address
1561 W 7000 S STE 100, WEST JORDAN, UT 84084-3556
(801) 921-0270
(801) 747-6881
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2016-HHA-UT000763
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007116
—
UT
Enumeration date
06/21/2016
Last updated
06/20/2023
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