OrganizationActive
Ach Provo, LLC
NPI 1902350515 · In Home Supportive Care Agency · Provo, UT
Provider details
- NPI number
- 1902350515
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Authorized official
- Cameron Jones, Business Unit Manager
- License
- 2015PCA97387 (UT)
Practice location
363 N University Ave Ste 104
Provo, UT 84601-8423
Phone: (801) 377-2760
Fax: (801) 377-2749
Mailing address
363 N University Ave Ste 104
Provo, UT 84601-8423
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2016-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.