Healthcare Provider Details
I. General information
NPI: 1760826929
Provider Name (Legal Business Name): SAFEGUARD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2013
Last Update Date: 11/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1885 N RAILROAD ST
LEHI UT
84043-2858
US
IV. Provider business mailing address
PO BOX 1247
AMERICAN FORK UT
84003-6247
US
V. Phone/Fax
- Phone: 801-592-1047
- Fax: 801-763-1342
- Phone: 801-592-1047
- Fax: 888-700-0035
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANA
COX
Title or Position: OWNER
Credential: MSW
Phone: 801-592-1047