NPI 1942681887

Love @ Home

Organisation Health Maintenance Organization Lewiston, UT

Practice location

Address: 130 N Main St, Lewiston, UT 84320-1501
Phone: (435) 512-6152

Authorised official

Name: Ashley Diana Denton
Title: Owner/Lpn
Phone: (435) 512-6152

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 94107620160 (UT)

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Registry record

NPI: 1942681887
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.