Organization
MOUNTAIN PEAK HOME CARE, INC.
Active
Other names
Stonebridge Home Care South
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
363 N UNIVERSITY AVE STE 104, PROVO, UT 84601-8423
(801) 377-2760
Mailing address
961 W CENTER ST, OREM, UT 84057-5203
(801) 377-2760
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/19/2019
Last updated
06/04/2025
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