Organization
INTEGRATED SENIOR CARE PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK L PHILLIPS CEO (PRESIDENT)
(435) 628-8944
Entity
Organization
Contact information
Practice address
616 S RIVER RD, 200, ST GEORGE, UT 84790-2104
(435) 628-8944
Mailing address
616 S RIVER RD, 200, ST GEORGE, UT 84790-2104
(435) 628-8944
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
UT
Enumeration date
01/07/2016
Last updated
01/07/2016
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