Organization
IDEAL IV THERAPY AND HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L TAYLOR RN (OWNER)
(801) 870-9985
Entity
Organization
Contact information
Practice address
11433 S MOUNTAIN RIDGE CIR, SANDY, UT 84092-5647
(801) 870-9985
Mailing address
11433 S MOUNTAIN RIDGE CIR, SANDY, UT 84092-5647
(801) 870-9985
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
342765-3102
UT
Other
Enumeration date
06/18/2018
Last updated
04/12/2019
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