Individual
MS. EILEEN DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6871 LOTUS WAY, WEST JORDAN, UT 84084-7551
(801) 755-9191
Mailing address
6871 LOTUS WAY, WEST JORDAN, UT 84084-7551
(801) 755-9191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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