Ach Provo, LLC

NPI #1902350515 in Provo, Utah

Provider Information

NPI Number: 1902350515
Entity Type: Organization
Organization Name: Ach Provo, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Aug 11, 2016
Last Updated: Aug 11, 2016

Practice Location

Address: 363 N UNIVERSITY AVE STE 104
City: Provo
State: Utah
ZIP Code: 84601-8423
Phone: (801) 377-2760

Authorized Official

Name: CAMERON J JONES
Title: BUSINESS UNIT MANAGER
Phone: (801) 377-2760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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