Organization · Type 2 NPI

Ivy Lane Pediatrics, LLC

Home Health Agency · South Ogden, UT

NPI number 1083635692 Active

Practice location

5974 Fashion Point Dr Ste 230
South Ogden, UT 84403-4805

Fax (801) 728-0641

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1083635692

Ivy Lane Pediatrics, LLC's National Provider Identifier is 1083635692, issued on Jul 21, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in South Ogden, UT. The record was last updated on Jan 21, 2022.