Individual
NICOLE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 S MOUNTAIN LN, SALT LAKE CITY, UT 84124-5609
(801) 669-0136
Mailing address
4780 S MOUNTAIN LN, SALT LAKE CITY, UT 84124-5609
(801) 669-0136
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
UT
385H00000X
Respite Care
—
UT
Other
Enumeration date
10/05/2023
Last updated
10/11/2023
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