Organization Name: | WESTERN STATES LODGING & DEVELOPMENT |
NPI Number: | 1992844377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID REED WEBSTER (ADMINISTRATOR) |
Mailing Address: | 79 E Center St Bountiful |
State: | UT US |
Postal Code: | 840106126 |
Phone Number: | 8012942925 |
Fax Number: | 8012987914 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2005-ALII-971 |
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. |