Provider Demographics
NPI:1912245465
Name:WASATCH REGIONAL HOME HEALTH & HOSPICE, INC
Entity Type:Organization
Organization Name:WASATCH REGIONAL HOME HEALTH & HOSPICE, INC
Other - Org Name:WASATCH REGIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-628-4575
Mailing Address - Street 1:2974 W 3500 S
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-3630
Mailing Address - Country:US
Mailing Address - Phone:801-849-0696
Mailing Address - Fax:866-543-0438
Practice Address - Street 1:2974 W 3500 S
Practice Address - Street 2:SUITE 600
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-3630
Practice Address - Country:US
Practice Address - Phone:801-849-0696
Practice Address - Fax:866-543-0438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health