Organization
GSDED, LLC
Active
Other names
Interim HealthCare SLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAWKINS (MEMBER)
(801) 401-3515
Entity
Organization
Contact information
Practice address
2020 S 1300 E, SUITE C, SALT LAKE CITY, UT 84105-3654
(801) 401-3515
(801) 401-3503
Mailing address
2020 S 1300 E, SUITE C, SALT LAKE CITY, UT 84105-3654
(801) 401-3515
(801) 401-3503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
03/10/2023
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