Healthcare Provider Details

I. General information

NPI: 1275690489
Provider Name (Legal Business Name): DO-IT FOR YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 E CASA LOMA DRIVE
CENTERVILLE UT
84014
US

IV. Provider business mailing address

291 E CASA LOMA DRIVE
CENTERVILLE UT
84014
US

V. Phone/Fax

Practice location:
  • Phone: 801-295-8095
  • Fax: 801-296-6471
Mailing address:
  • Phone: 801-295-8095
  • Fax: 801-296-6471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARYLUE SMART
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-295-8095