Healthcare Provider Details

I. General information

NPI: 1457686735
Provider Name (Legal Business Name): FRONTIER LEASING MANAGEMENT LC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 E 700 S #201
ST GEORGE UT
84790-4082
US

IV. Provider business mailing address

1405 W 2200 S SUITE 200
SALT LAKE CITY UT
84119-1485
US

V. Phone/Fax

Practice location:
  • Phone: 435-656-2889
  • Fax: 435-656-2877
Mailing address:
  • Phone: 801-973-0900
  • Fax: 801-973-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVEN L LOVE
Title or Position: MANAGER
Credential:
Phone: 801-973-0900