LOVE @ HOME
Managed Care Organizations at Main St, Lewiston, UT

License number
Utah 94107620160
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. ASHLEY DIANA DENTON LPN
Title: OWNER/LPN
Phone: (435) 512-6152
Address
Address
130 N Main St, Lewiston, UT 84320
National Provider ID: 1942681887
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.