Petersen Farms Assisted Living & Memory Care

LBN: Petersen Farms Assisted Living & Memory Care
Petersen Farms Assisted Living & Memory Care is an health care organization with primary practice located at 6980 S. 475 E. , South Weber UT 84405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Petersen Farms Assisted Living & Memory Care can be contacted via phone (801) 479-6000, or through Croxford, Brent via phone (801) 388-3848.

Contact Information

Primary practice address
6980 S. 475 E. South Weber UT 84405
Phone: (801) 479-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Croxford, Brent
Phone: (801) 388-3848

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1518525989
LBN Legal business name Petersen Farms Assisted Living & Memory Care
DBA Doing business as
Authorized official Croxford, Brent
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2019
Last updated May 31st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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