NPI 1063059939

Gahc4 West Haven Ut Trs Sub, LLC

Organisation Assisted Living Facility West Haven, UT

Practice location

Address: 3518 South 2625 West, West Haven, UT 84401
Phone: (801) 732-5290
Mailing address: 18191 von Karman Ave STE 300, Irvine, CA 92612-7106

Authorised official

Name: Danny Prosky
Title: President
Phone: (949) 270-9200

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Utah →

Registry record

NPI: 1063059939
Entity type: Organization
NPI issued: 10 Dec 2019
Record last updated: 10 Dec 2019

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.