Organization
CABRETTA LLC
Active
Other names
Lively
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HAMAKER (OFFICE MANAGER)
(866) 755-7437
Entity
Organization
Contact information
Practice address
904 N 1400 W, ST GEORGE, UT 84770-4989
(866) 755-7437
Mailing address
904 N 1400 W, ST GEORGE, UT 84770-4989
(866) 755-7437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/13/2022
Last updated
02/18/2026
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