Willow Creek Health Care
NPI #1215938469 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1215938469
- Entity Type
- Organization
- Organization Name
- Willow Creek Health Care
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jul 31, 2007
Practice Location
- Address
- 1935 VINE ST
- Address 2
- SUITE 420
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-2192
- Phone
- (801) 281-9669
Authorized Official
- Name
- MR. TRACE D OSBORNE, CPA
- Title
- ADMINISTRATOR CFO
- Phone
- (801) 281-9669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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