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NPI Code Detail

MEDICARE: RMC PERSONAL CARE, LLC

MEDICARE: RMC PERSONAL CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1306670542
Entity Type Code : Organization
Provider Name (Legal Business Name) : RMC PERSONAL CARE, LLC
Provider Business Mailing Address
First Line : 576 W 900 S STE 101
Second Line :
City : WOODS CROSS
State : UT
Zip : 84010-8232
Country : US
Telephone Number : 801-397-4140
Fax Number : 801-397-4199
Provider Business Practice Location Address
First Line : 175 RIVER VIEW DR STE A
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-4811
Country : US
Telephone Number : 307-875-7976
Fax Number : 307-875-8990
Authorized Official
Title or Position : MANAGER
Name : DEE BANGERTER
Credential :
Telephone Number : 801-397-4000
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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