Healthcare Provider Details

I. General information

NPI: 1467720367
Provider Name (Legal Business Name): ENLIGHTENED DAYS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 6100 S
MURRAY UT
84107-7245
US

IV. Provider business mailing address

5 E 6100 S
MURRAY UT
84107-7245
US

V. Phone/Fax

Practice location:
  • Phone: 801-266-4700
  • Fax:
Mailing address:
  • Phone: 801-266-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateUT

VIII. Authorized Official

Name: MR. MARCELO ALESSANDRO OCCON
Title or Position: DIRECTOR
Credential:
Phone: 435-649-4919