Organization
ECLIPSE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LEE GOURLEY RN (PRESIDENT)
(801) 293-1199
Entity
Organization
Contact information
Practice address
746 E WINCHESTER ST, G10, SALT LAKE CITY, UT 84107-8512
(801) 293-1199
(801) 293-1224
Mailing address
746 E WINCHESTER ST, G10, SALT LAKE CITY, UT 84107-8512
(801) 293-1199
(801) 293-1224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004HHA35654
UT
Other
Enumeration date
06/18/2005
Last updated
05/01/2009
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