Organization Name: | EXPERIENCE THE DREAM |
NPI Number: | 1447654561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW MELVIN ESCHLER (OWNER, ADMINISTRATOR) |
Mailing Address: | 435 E Tabernacle St Suite 201 St George |
State: | UT US |
Postal Code: | 847702979 |
Phone Number: | 8886881118 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |