Onsite Advanced Care
Specialist in Layton, UT. Organization (NPI-2).
NPI number1184293136
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1184293136
- Entity type
- Organization (NPI-2)
- Legal business name
- Onsite Advanced Care
- Organization subpart
- No
- Enumeration date
- Jun 23, 2021
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
3356 W 775 NLayton, UT 84041-8801
Phone 801-941-9889
Mailing address
3356 W 775 NLayton, UT 84041-8801
Phone 801-638-0400
Authorized official
Dedra Leinbach
Ceo
8016380400
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