Providential Bba Operating LP

NPI #1275560062 in Bountiful, Utah

Provider Information

NPI Number
1275560062
Entity Type
Organization
Organization Name
Providential Bba Operating LP
Primary Specialty
Home Health
Enumeration Date
Jun 27, 2006
Last Updated
Jul 15, 2020

Practice Location

Address
401 S 400 E
State
Utah
ZIP Code
84010-4933
Phone
(801) 295-2361

Authorized Official

Name
MICHELLE BROWN
Title
CFO
Phone
(801) 397-8145

Specialties & Taxonomy Codes

Specialty
Home Health

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