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General NPI Number Information
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NPI Number | 1558219543
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Entity Type | Organization
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Legal Business Name | GREEN ROCK HOME CARE INC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 10808 S RIVER FRONT PKWY STE 300
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-5761
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Country | US
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Telephone | 801-509-4559
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 S RIVER FRONT PKWY STE 3094
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-5939
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Country | US
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Telephone | 801-509-4559
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MISALEILANI ROCK HOME CARE LIAVA'A
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Credential |
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Telephone | 801-509-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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