Intermountain Community Supports And Services, Llc

NPI 1184981201 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1184981201
Enumeration Date 04/13/2012
Last Updated 04/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRYAN SCOTT BRYAN
Position OWNER
Phone (435) 512-4045
Fax (801) 966-3312
Practice Location
5104 HERITAGE COVE
TAYLORSVILLE UT, 84129, US
Phone (435) 512-4045
Fax (801) 966-3312
Business Location
5104 HERITAGE COVE
TAYLORSVILLE UT, 84129, US
Phone (435) 512-4045
Fax (801) 966-3312
Toxanomy
Taxonomy Code 253Z00000X
License State
License Number
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According to our database, Intermountain Community Supports And Services, Llc NPI is 1184981201, taxonomy code is 253Z00000X Intermountain Community Supports And Services, Llc physically located at 5104 Heritage Cove, Taylorsville UT, 84129. NPI Number 1033115704 has the healthcare provider type.

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1184981201 NPI number is provided on an as is basis without warranty of any kind. 1184981201 is maintained by the National Plan & Provider Enumeration System. The contents of Intermountain Community Supports And Services, Llc are for informational purposes only.