Elder Assisted Living Llc

NPI 1013159995 - Assisted Living Facility - 310400000X

NPI Details
NPI 1013159995
Enumeration Date 03/24/2009
Last Updated 03/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREG EVAN GREG
Position PRESIDEN/MANAGER
Phone (801) 423-3205
Fax (801) 932-4600
Practice Location
1015 S 550 W
SALEM UT, 84653, US
Phone (801) 423-3205
Fax (801) 932-4600
Business Location
1365 W 1320 N
PROVO UT, 84604, US
Phone (801) 374-2157
Fax (801) 932-4600
Toxanomy
Taxonomy Code 310400000X
License State Utah
License Number 7294378-0160
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According to our database, Elder Assisted Living Llc NPI is 1013159995, taxonomy code is 310400000X and license number is 7294378-0160, license state is located at Utah. Elder Assisted Living Llc physically located at 1015 S 550 W, Salem UT, 84653. NPI Number 1033115704 has the healthcare provider type.

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1013159995 NPI number is provided on an as is basis without warranty of any kind. 1013159995 is maintained by the National Plan & Provider Enumeration System. The contents of Elder Assisted Living Llc are for informational purposes only.