Organization Name: | DOVE CENTER |
NPI Number: | 1053710392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDSEY BOYER (EXECUTIVE DIRECTOR) |
Mailing Address: | 1240 E 100 S Ste 221 Suite 221 Saint George |
State: | UT US |
Postal Code: | 847903077 |
Phone Number: | 4356281204 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2014 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 6536564CHAR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |