Organization Name: | ROCKY MOUNTAIN PERSONAL CARE LLC |
NPI Number: | 1336545128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAUNICE MINOR (ACCOUNTANT) |
Mailing Address: | 576 W 900 S Suite 101 Woods Cross |
State: | UT US |
Postal Code: | 840108194 |
Phone Number: | 8013974054 |
Fax Number: | 8013974196 |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2014-PCA-UT000614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |