Doctor Name: | JOANNA KEELE SHAFFER |
NPI Number: | 1740600618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 8145475-3102 |
Business Practice Address: | 140 E 200 S Tooele, UT - 840742763 |
Business Phone Number: | 4358432000 |
Business Fax Number: | 4358432090 |
Mailing Address: | 942 N 1250 E, TOOELE |
State: | UT |
Postal Code: | 840749203 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2014 |
NPI Last Update Date: | 04/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 8145475-3102 |
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. |