Organization
YSWECAN, LLC
Active
Other names
Brightstar Mountainside
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BAGGETT (OWNER)
(801) 290-1290
Entity
Organization
Contact information
Practice address
5320 S 900 E STE 280, SALT LAKE CITY, UT 84117-7244
(801) 290-1290
(801) 290-1291
Mailing address
5320 S 900 E STE 280, SALT LAKE CITY, UT 84117-7244
(801) 290-1290
(801) 290-1291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2013-HHA-UT00421
UT
251E00000X
Home Health Agency
2013-PCA-100630
UT
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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