Home Freedom LLC

Organization Active NPI Occupational Therapist · West Haven, UT

NPI 1245307313 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1245307313
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
License
225X00000X (UT)
Legal business name
HOME FREEDOM LLC
Practice address
3448 S 5100 W
West Haven, UT 84401-9435
Phone
(801) 814-3303
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

Name
Mrs. Charity Sue Davis, OTRL
Title
Manager
Phone
(801) 814-3303

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 225X00000X UT Yes

Addresses

Primary practice location

3448 S 5100 W
West Haven, UT 84401-9435

Mailing address

3448 S 5100 W
West Haven, UT 84401-9435
Phone (801) 814-3303

Other identifiers

IdentifierTypeStateIssuer
1720018294OtherUTCHARITY DAVIS NPI

Other providers in West Haven, UT

All providers in West Haven, UT · Occupational Therapist in Utah

Sources for this page

Verify at the official NPI Registry.