Healthcare Provider Details

I. General information

NPI: 1407377310
Provider Name (Legal Business Name): CARE2U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6494 S 1725 E
UINTAH UT
84405-9759
US

IV. Provider business mailing address

6494 S 1725 E
UINTAH UT
84405-9759
US

V. Phone/Fax

Practice location:
  • Phone: 801-497-6689
  • Fax:
Mailing address:
  • Phone: 801-497-6689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: KIM GLEAVE
Title or Position: OWNER
Credential:
Phone: 801-497-6689