NPI 1477603652

Peachtree Place VII LLC

Organisation Assisted Living Facility West Haven, UT

Practice location

Address: 4607 Midland Dr, West Haven, UT 84401-9507
Phone: (801) 732-0060
Fax: (801) 732-0120

Authorised official

Name: Jonathan Ernest Purvance
Title: Managing Member
Phone: (801) 550-9135

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2005-ALLL-9990 (UT)

Other Assisted Living Facility providers in Utah →

Registry record

NPI: 1477603652
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 22 Aug 2020

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.