Organization Name: | MOUNTAIN VALLEY |
NPI Number: | 1033382510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT PERKINS (CEO) |
Mailing Address: | 920 Heritage Park Blvd Suite 120 Layton |
State: | UT US |
Postal Code: | 840415638 |
Phone Number: | 8017286574 |
Fax Number: | 8017286575 |
NPI Enumeration Date: | 04/07/2008 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |