Sunshine Terrace Foundation, INC

NPI #1588806780 in Logan, Utah

Provider Information

NPI Number: 1588806780
Entity Type: Organization
Organization Name: Sunshine Terrace Foundation, INC
Subpart: Yes (part of a larger organization)
Parent Organization: SUNSHINE TERRACE FOUNDATION, INC
Primary Specialty: Home Health
Enumeration Date: Apr 2, 2009
Last Updated: Oct 14, 2015

Practice Location

Address: 225 N 200 W
City: Logan
State: Utah
ZIP Code: 84321
Phone: (435) 716-8541

Authorized Official

Name: MR. DENNIS WILDMAN
Title: ADMINISTRATOR
Phone: (435) 716-8541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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