NPI 1013159995

Elder Assisted Living LLC

Organisation Assisted Living Facility Salem, UT

Practice location

Address: 1015 S 550 W, Salem, UT 84653
Phone: (801) 423-3205
Fax: (801) 932-4600
Mailing address: 1365 W 1320 N, Provo, UT 84604

Authorised official

Name: Greg Evan Elder
Title: Presiden/Manager
Phone: (801) 374-2157

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 7294378-0160 (UT)

Other Assisted Living Facility providers in Utah →

Registry record

NPI: 1013159995
Entity type: Organization
NPI issued: 24 Mar 2009
Record last updated: 24 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.