Organization
MAFASHOMECARE
Active
Other names
MafasHomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNA F LESA (BOSS)
(801) 404-0937
Entity
Organization
Contact information
Practice address
3004 W 1350 N, PROVO, UT 84601-5793
(801) 404-0937
Mailing address
3004 W 1350 N, PROVO, UT 84601-5793
(801) 404-0937
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
12/18/2024
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