Whalio Doctors

NPI 1174577753

Canyon Creek Home Health Care LLC

Organisation Home Health Agency South Salt Lake, UT

Practice location

Address
3443 S State St STE 9, South Salt Lake, UT 84115-4914
Phone
(801) 251-1595
Fax
(801) 251-1599

Authorised official

Name
Daniel Cosby
Title
Owner
Phone
(801) 251-1595

Registered specialties (5)

Home Health Agency Primary
Agencies Taxonomy 251E00000X Licence 2015-HHA-75037 (UT)
Home Health Agency
Agencies Taxonomy 251E00000X Licence 2006-HHA-75037 (UT)
Home Health Agency
Agencies Taxonomy 251E00000X Licence 2011-HHA-75037 (UT)
Home Health Agency
Agencies Taxonomy 251E00000X Licence 2013-HHA-75037 (UT)
Home Health Agency
Agencies Taxonomy 251E00000X

Registry record

NPI
1174577753
Entity type
Organization
NPI issued
19 May 2006
Record last updated
17 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.