| Organization Name: | DIGNIFIED LIVING CV LLC |
| NPI Number: | 1649513227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANYEL R LARSEN (ADMINISTRATOR) |
| Mailing Address: | 2580 W 4400 N Benson |
| State: | UT US |
| Postal Code: | 843359733 |
| Phone Number: | 4357706563 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2013 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2013PCAUT000503 |
| 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 |