Organization
AXIS IN-HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SAMUEL CLARK (OWNER-ADMIN)
(801) 608-3882
Entity
Organization
Contact information
Practice address
754 TECHNOLOGY AVE STE F11-20, OREM, UT 84097-6204
(801) 608-3882
(801) 576-7536
Mailing address
754 TECHNOLOGY AVE STE F11-20, OREM, UT 84097-6204
(801) 608-3882
(801) 576-7536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004-HHA-42117
UT
Other
Enumeration date
12/01/2005
Last updated
06/23/2022
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