Hazen Nursing Home, Inc

NPI 1063669067 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1063669067
Enumeration Date 08/20/2008
Last Updated 08/20/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROMAINE ROMAINE
Position ADMINISTRATOR
Phone (801) 972-1050
Fax
Practice Location
2520 S REDWOOD RD
WEST VALLEY CITY UT, 84119-2215, US
Phone (801) 972-1050
Fax
Business Location
2520 S REDWOOD RD
WEST VALLEY CITY UT, 84119-2215, US
Phone
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Utah
License Number 2008-NCF-52
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According to our database, Hazen Nursing Home, Inc NPI is 1063669067, taxonomy code is 313M00000X and license number is 2008-NCF-52, license state is located at Utah. Hazen Nursing Home, Inc physically located at 2520 S Redwood Rd, West Valley City UT, 84119-2215. NPI Number 1033115704 has the healthcare provider type.

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1063669067 NPI number is provided on an as is basis without warranty of any kind. 1063669067 is maintained by the National Plan & Provider Enumeration System. The contents of Hazen Nursing Home, Inc are for informational purposes only.