Organization Name: | COMMUNITY NURSING SERVICE |
NPI Number: | 1316996457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT D JONES (PRESIDENT & CEO) |
Mailing Address: | 2830 S Redwood Rd Suite A West Valley City |
State: | UT US |
Postal Code: | 841195625 |
Phone Number: | 8012336100 |
Fax Number: | 8012336110 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2014-HOSPICE-72301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |