Organization
DIVERSIFIED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX N WINDER (OWNER)
(801) 635-9619
Entity
Organization
Contact information
Practice address
10757 S RIVER FRONT PKWY, 110, SOUTH JORDAN, UT 84095-3545
(801) 635-9619
Mailing address
10757 S RIVER FRONT PKWY, 110, SOUTH JORDAN, UT 84095-3545
(801) 635-9619
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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