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Medicl Facility ID: 14909353671003380324

Facility Business Name: INTERMOUNTAIN HOMECARE HOME HEALTH LOGAN ( LOGAN, UT )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id14909353671003380324
Facility NameINTERMOUNTAIN HOMECARE HOME HEALTH LOGAN
Address Line550 EAST 1400 NORTH, SUITE G
CityLOGAN
StateUT
Zip84341
Phone435-716-5477
TypeHome Health
CMS Certification Number467024