Organization Name: | ENVISION HOME HEALTH, LLC |
NPI Number: | 1386793123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BART D COON (OWNER) |
Mailing Address: | 31 S 400 W Orem |
State: | UT US |
Postal Code: | 840585324 |
Phone Number: | 8012257971 |
Fax Number: | 8668992356 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2013-HOSPICE-80460 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |