Pine Mountain Home Health, LLC

NPI #1639492556 in Holladay, Utah

Provider Information

NPI Number: 1639492556
Entity Type: Organization
Organization Name: Pine Mountain Home Health, LLC
Primary Specialty: Home Health
Enumeration Date: Mar 5, 2010
Last Updated: Feb 21, 2014

Practice Location

Address: 5200 HIGHLAND DR
Address 2: SUITE 200
City: Holladay
State: Utah
ZIP Code: 84117-7057
Phone: (801) 277-3298

Authorized Official

Name: MR. TRACE D. OSBORNE, CPA
Title: ACCOUNTANT
Phone: (801) 277-3298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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