Organization Name: | HEIRLOOM INN, INC. |
NPI Number: | 1194992354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERROL D. DURRANT (ADMINISTRATION (FINANCE)) |
Mailing Address: | 145 N Carbon Ave Price |
State: | UT US |
Postal Code: | 845012464 |
Phone Number: | 4356368441 |
Fax Number: | 4356138040 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2006-ALII-16260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |