Organization
ROAD HOME GROUP LLC
Active
Other names
The Ruben Group
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BUSH MA (DIRECTOR OF OPERATIONS)
(615) 660-7046
Entity
Organization
Contact information
Practice address
900 BITNER RD, PARK CITY, UT 84098-5404
(615) 660-7046
Mailing address
900 BITNER RD, PARK CITY, UT 84098-5404
(615) 660-7046
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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