Provider Demographics
NPI:1881285823
Name:STEED, OLIVE ASENETH
Entity type:Individual
Prefix:
First Name:OLIVE
Middle Name:ASENETH
Last Name:STEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 E HIDDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2052
Mailing Address - Country:US
Mailing Address - Phone:435-628-0555
Mailing Address - Fax:
Practice Address - Street 1:3426 E HIDDEN SPRINGS DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-2052
Practice Address - Country:US
Practice Address - Phone:435-628-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient