Diane Personal Care Agency LLC
In Home Supportive Care in Slc, UT. Organization (NPI-2).
NPI number1063276392
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1063276392
- Entity type
- Organization (NPI-2)
- Legal business name
- Diane Personal Care Agency LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
154 W 600 S Unit 231Slc, UT 84101-2782
Phone 801-889-0514
Mailing address
154 W 600 S Unit 231Slc, UT 84101-2782
Phone 801-889-0514
Authorized official
Olghen Marvin Ocean Saintelus
Administrator
8018890514
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