Organization
CASCADE SPRINGS HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVEN PETTIT (ADMINISTRATOR)
(801) 546-4368
Entity
Organization
Contact information
Practice address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 546-4368
(801) 546-1053
Mailing address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
10/20/2011
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