De Novo Services Llc

LBN: De Novo Services Llc
De Novo Services Llc is an health care organization with primary practice located at 339 E 3900 S Suite 155, Salt Lake City UT 84107-1677. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. De Novo Services Llc can be contacted via phone (801) 263-1056, or through Costley, Jerry via phone (801) 263-1056.

Contact Information

Primary practice address
339 E 3900 S Suite 155 Salt Lake City UT 84107-1677
Phone: (801) 263-1056
Fax: (801) 261-3701
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jerry
Phone: (801) 263-1056

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1164794434
LBN Legal business name De Novo Services Llc
DBA Doing business as
Authorized official Costley, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Aug 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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