Provider Demographics
NPI:1578019196
Name:ENTRUSTED CARE
Entity Type:Organization
Organization Name:ENTRUSTED CARE
Other - Org Name:CORI SAVILLE, APRN
Other - Org Type:Other Name
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:CORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:435-862-3137
Mailing Address - Street 1:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:PAROWAN
Mailing Address - State:UT
Mailing Address - Zip Code:84761-0998
Mailing Address - Country:US
Mailing Address - Phone:435-862-3137
Mailing Address - Fax:702-825-2702
Practice Address - Street 1:256 N 300 W
Practice Address - Street 2:
Practice Address - City:PAROWAN
Practice Address - State:UT
Practice Address - Zip Code:84761-0998
Practice Address - Country:US
Practice Address - Phone:435-862-3137
Practice Address - Fax:702-825-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6267411-4405261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care