Provider Demographics
NPI:1801440201
Name:WASATCH WORX HOME HEALTH
Entity type:Organization
Organization Name:WASATCH WORX HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:SWARENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-497-1907
Mailing Address - Street 1:61 E COBURN CIR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4800
Mailing Address - Country:US
Mailing Address - Phone:801-497-1907
Mailing Address - Fax:801-459-7106
Practice Address - Street 1:375 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1272
Practice Address - Country:US
Practice Address - Phone:801-497-1907
Practice Address - Fax:801-459-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health