Provider Demographics
NPI:1003563578
Name:YARROW HOME HEALTH LLC
Entity Type:Organization
Organization Name:YARROW HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:TANGI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-592-2539
Mailing Address - Street 1:933 E 1910 S STE 102
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-5562
Mailing Address - Country:US
Mailing Address - Phone:801-618-0093
Mailing Address - Fax:888-908-0805
Practice Address - Street 1:933 E 1910 S STE 102
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-5562
Practice Address - Country:US
Practice Address - Phone:801-618-0093
Practice Address - Fax:888-908-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health