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Organization

SD HEALTH SERVICES LLC

Active
Other names
Rocky Mountain Home Care - Green River
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD MIKESELL (BOARD PRESIDENT)
(801) 397-4000
Entity
Organization

Contact information

Practice address
175 RIVER VIEW DR STE A, GREEN RIVER, WY 82935-4811
(307) 875-7976
(307) 875-8990
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 296-9117

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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