Organization Name: | ENSIGN ASSISTED LIVING LLC |
NPI Number: | 1174915425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ROBBINS (BUSINESS MANAGER) |
Mailing Address: | 997 S 800 W Brigham City |
State: | UT US |
Postal Code: | 843023042 |
Phone Number: | 2087851820 |
Fax Number: | 2087851824 |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |