Organization
SPECIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON GLENN (MANAGER)
(801) 473-6844
Entity
Organization
Contact information
Practice address
735 N 900 E, PROVO, UT 84606-2059
(801) 473-6844
Mailing address
PO BOX 1582, PROVO, UT 84603-1582
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
UT
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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