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General NPI Number Information
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NPI Number | 1619569589
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Entity Type | Organization
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Legal Business Name | RED MESA HOME CARE
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 690 INDUSTRIAL RD STE 3
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City | ST GEORGE
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State | UT
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Zip | 84770-3165
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Country | US
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Telephone | 435-467-0686
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Fax | 435-922-4171
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Provider Business Mailing Address
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Address Line | 2810 S 3640 W
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City | HURRICANE
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State | UT
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Zip | 84737-5012
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Country | US
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Telephone | 435-680-3648
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TREVOR DOUGLAS ROWLAND
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Credential | RN
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Telephone | 435-680-2698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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