Healthcare Provider Details

I. General information

NPI: 1619504602
Provider Name (Legal Business Name): CHERISH FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 04/16/2020
Certification Date: 04/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 W. TOWNSHIP AVE
COLORADO CITY AZ
86021
US

IV. Provider business mailing address

13504 S 7530 W
HERRIMAN UT
84096-3579
US

V. Phone/Fax

Practice location:
  • Phone: 435-277-0969
  • Fax:
Mailing address:
  • Phone: 801-205-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEE DRAPER
Title or Position: DIRECTOR OF OPERATIONS
Credential: SSW
Phone: 435-619-4547