Healthcare Provider Details

I. General information

NPI: 1942434485
Provider Name (Legal Business Name): HELP THE TEACHER CORPORATION DBA COMFORT KEEPERS #788
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2009
Last Update Date: 05/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 N MAIN ST
SPANISH FORK UT
84660-1734
US

IV. Provider business mailing address

397 N MAIN ST
SPANISH FORK UT
84660-1734
US

V. Phone/Fax

Practice location:
  • Phone: 801-794-0069
  • Fax: 801-798-6618
Mailing address:
  • Phone: 801-794-0069
  • Fax: 801-798-6618

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. LYMAN W. WILLARDSON
Title or Position: CEO
Credential: RN
Phone: 801-360-3060