Alliance Home Health of Northern Utah, LLC
Organization Active NPI Home Health Agency · Logan, UT
NPI 1003853672 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003853672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 6193670-0160 (UT)
- Legal business name
- ALLIANCE HOME HEALTH OF NORTHERN UTAH, LLC
- Practice address
- 965 S 100 W
Ste. 204
Logan, UT 84321-6062 - Phone
- (435) 753-0707
- Fax
- (435) 755-8505
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Justin Larsen
- Title
- Ceo
- Phone
- (435) 753-0707
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 6193670-0160 | UT | Yes |
Addresses
Primary practice location
965 S 100 W
Ste. 204
Logan, UT 84321-6062
Mailing address
965 S 100 W
Ste. 204
Logan, UT 84321-6062
Phone (435) 753-0707
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.