Provider Demographics
NPI:1417341777
Name:VIRGIN RIVER HEALTHCARE, INC.
Entity Type:Organization
Organization Name:VIRGIN RIVER HEALTHCARE, INC.
Other - Org Name:A GENTLE TOUCH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-401-1369
Mailing Address - Street 1:1173 S 250 W STE 401B
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-6392
Mailing Address - Country:US
Mailing Address - Phone:435-674-3640
Mailing Address - Fax:435-674-0778
Practice Address - Street 1:1173 S 250 W STE 401B
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770
Practice Address - Country:US
Practice Address - Phone:435-674-3640
Practice Address - Fax:435-674-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care