Organization Name: | ALTA RIDGE SOUTH JORDAN |
NPI Number: | 1730325663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY HOFFMANN (CONTROLLER) |
Mailing Address: | 1928 West Shields Lane South Jordan |
State: | UT US |
Postal Code: | 84095 |
Phone Number: | 8016768787 |
Fax Number: | 8017482269 |
NPI Enumeration Date: | 12/24/2008 |
NPI Last Update Date: | 12/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | APPLIED FOR |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |