Organization Name: | WENTWORTH SENIOR COMMUNITY AT DRAPER |
NPI Number: | 1043375108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN GILLETT (EXECUTIVE DIRECTOR) |
Mailing Address: | 11631 S 700 E Draper |
State: | UT US |
Postal Code: | 840208288 |
Phone Number: | 8015239393 |
Fax Number: | 8015722033 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2005-ALII-9817 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | UT |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |