Healthcare Provider Details

I. General information

NPI: 1902336779
Provider Name (Legal Business Name): PERSONAL SLEEP APNEA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 06/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11075 S STATE ST # 31
SANDY UT
84070-5164
US

IV. Provider business mailing address

51 W CENTER ST # 318
OREM UT
84057-4605
US

V. Phone/Fax

Practice location:
  • Phone: 801-615-1121
  • Fax: 801-691-0395
Mailing address:
  • Phone: 801-615-1121
  • Fax: 801-691-0395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateUT

VIII. Authorized Official

Name: CAROL FOSTER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 801-615-1121