Love @ Home

NPI #1942681887 in Lewiston, Utah

Provider Information

NPI Number
1942681887
Entity Type
Organization
Organization Name
Love @ Home
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 16, 2015
Last Updated
Jun 16, 2015

Practice Location

Address
130 N MAIN ST
State
Utah
ZIP Code
84320-1501
Phone
(435) 512-6152

Authorized Official

Name
MRS. ASHLEY DIANA DENTON, LPN
Title
OWNER/LPN
Phone
(435) 512-6152

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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