Provider Demographics
NPI:1659065068
Name:DW INSPIRED LLC
Entity Type:Organization
Organization Name:DW INSPIRED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-226-1111
Mailing Address - Street 1:560 S STATE ST STE G7
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-6315
Mailing Address - Country:US
Mailing Address - Phone:801-226-1111
Mailing Address - Fax:
Practice Address - Street 1:560 S STATE ST STE G7
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6315
Practice Address - Country:US
Practice Address - Phone:801-226-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health