Organization Name: | CASCADE SPRINGS HOME HEALTH & HOSPICE, LLC |
NPI Number: | 1821374117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEVEN B PETTIT (OWNER/ADMINISTRATOR) |
Mailing Address: | 1795 Chelemes Way Clearfield |
State: | UT US |
Postal Code: | 840156298 |
Phone Number: | 8016145700 |
Fax Number: | 8015461053 |
NPI Enumeration Date: | 10/31/2011 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |