Healthcare Provider Details

I. General information

NPI: 1508896820
Provider Name (Legal Business Name): WEBER & HENSHAW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4772 PLUM ST
MURRAY UT
84123-3613
US

IV. Provider business mailing address

4772 PLUM ST
MURRAY UT
84123-3613
US

V. Phone/Fax

Practice location:
  • Phone: 801-506-0415
  • Fax: 801-263-0251
Mailing address:
  • Phone: 801-506-0415
  • Fax: 801-263-0251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateUT

VIII. Authorized Official

Name: JEREMY HENSHAW
Title or Position: OWNER
Credential:
Phone: 801-506-0415