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NPI 1093040883 · In Home Supportive Care Agency · Spanish Fork, UT
Provider details
- NPI number
- 1093040883
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lyman Willardson, Owner(801) 794-0069
- License
- 2009-HHA-90856 (UT)
Specialties & taxonomies
Agencies
Practice location
1460 N Main St
Suite 11 B
Spanish Fork, UT 84660-1000
Phone: (801) 794-0069
Fax: (801) 798-6618
Approximate (ZIP-level) locationGet directions
Mailing address
1460 N Main St
Spanish Fork, UT 84660-1000
Other names (DBA / former)
- Doing business as
- Comfort Keepers #788
Registry dates
- Enumerated
- 2009-10-12
- Last updated
- 2009-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.