Organization
FAMMULL, INC.
Active
Other names
BrightStar Mountainside
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMRA LEE OLSEN R.N. (DIRECTOR OF NURSING)
(801) 290-1290
Entity
Organization
Contact information
Practice address
5330 S 900 E, SUITE 260, SALT LAKE CITY, UT 84117-7261
(801) 290-1290
(801) 290-1291
Mailing address
5330 S 900 E, SUITE 260, SALT LAKE CITY, UT 84117-7261
(801) 290-1290
(801) 290-1291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2010-HHA-96627
UT
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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