Organization
LIFE CARE AT HOME OF UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON (SENIOR DIRECTOR OF FINANCE)
(423) 473-5257
Entity
Organization
Contact information
Practice address
2200 W PARKWAY BLVD, SUITE 200, SALT LAKE CITY, UT 84119-2099
(801) 972-5802
(801) 973-0246
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 559-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004-HHA-231
UT
Other
Enumeration date
05/23/2005
Last updated
04/17/2014
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