Organization
FLC HOMECARE HOLDINGS
Active
Other names
Home Option Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR LIGHTEN (OWNER)
(801) 687-1746
Entity
Organization
Contact information
Practice address
12244 S BUSINESS PARK DR STE 215, DRAPER, UT 84020-6561
(801) 274-9100
Mailing address
12244 S BUSINESS PARK DR STE 215, DRAPER, UT 84020-6561
(801) 274-9100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-PCA-UT207261
UTAH STATE LICENSE NUMBER FOR A PERSONAL CARE AGENCY
UT
Enumeration date
11/23/2022
Last updated
11/23/2022
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