Provider Demographics
NPI:1689325086
Name:DIGNITY HEALTH CONNECTED LIVING
Entity Type:Organization
Organization Name:DIGNITY HEALTH CONNECTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:KRIKORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-226-3059
Mailing Address - Street 1:200 MERCY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-8641
Mailing Address - Country:US
Mailing Address - Phone:530-223-3064
Mailing Address - Fax:
Practice Address - Street 1:100 MERCY OAKS DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-8643
Practice Address - Country:US
Practice Address - Phone:530-226-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No174200000XOther Service ProvidersMeals