Organization
EXTRA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA HARRISON (OWNER/PRESIDENT)
(435) 401-4261
Entity
Organization
Contact information
Practice address
209 N 100 E, ROOSEVELT, UT 84066-2316
(435) 722-9001
(435) 722-9005
Mailing address
209 N 100 E, ROOSEVELT, UT 84066-2316
(435) 722-9001
(435) 722-9005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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