Caresource

NPI #1902861693 in Park City, Utah

Provider Information

NPI Number: 1902861693
Entity Type: Organization
Organization Name: Caresource
Primary Specialty: Home Health
Enumeration Date: Apr 18, 2006
Last Updated: Nov 14, 2016

Practice Location

Address: 750 KEARNS BLVD. #200
City: Park City
State: Utah
ZIP Code: 84060
Phone: (801) 266-7200

Authorized Official

Name: MRS. SHAWNTEL ELIZABETH TANNER, MA
Title: CEO/ADMINISTRATOR
Phone: (801) 266-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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