Organization
LIFETOUCH LLC
Active
Other names
Lifetouch Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W LEE MBA (OWNER/ADMINISTRATOR)
(801) 683-9541
Entity
Organization
Contact information
Practice address
1913 BONNEVIEW DR, BOUNTIFUL, UT 84010-4210
(801) 683-9541
(801) 292-4508
Mailing address
1913 BONNEVIEW DR, BOUNTIFUL, UT 84010-4210
(801) 683-9541
(801) 292-4508
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2011-HHA-99082
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467320
CMS CERTIFICATION NUMBER
—
Enumeration date
11/17/2010
Last updated
07/30/2011
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