Healthcare Provider Details

I. General information

NPI: 1982792941
Provider Name (Legal Business Name): DANVILLE SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 S UNION PARK AVE STE 200
SANDY UT
84047-1870
US

IV. Provider business mailing address

7351 S UNION PARK AVE STE 200
SANDY UT
84047-1870
US

V. Phone/Fax

Practice location:
  • Phone: 801-363-1521
  • Fax: 801-676-1510
Mailing address:
  • Phone: 801-363-1521
  • Fax: 801-676-1510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2006HHA19143
License Number StateUT

VIII. Authorized Official

Name: LAURIE BUYS
Title or Position: ADMINISTRATOR
Credential:
Phone: 801-755-1112