Organization Name: | DIAMOND JANE'S, INC. |
NPI Number: | 1437463064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN B PETERSON (OWNER) |
Mailing Address: | 345 S Hale St Grantsville |
State: | UT US |
Postal Code: | 840299546 |
Phone Number: | 4358093918 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2009-ALII-90309 |
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. |