NPI 1689926313

Lotus Park Care Centers, LLC

Organisation Assisted Living Facility West Haven, UT

Practice location

Address: 2639 W 3520 S, West Haven, UT 84401
Phone: (801) 389-6555
Mailing address: 2639 W 3520 S, West Haven, UT 84401-8529

Authorised official

Name: Charles George Osman
Title: Administrator
Phone: (801) 389-6555

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2012-A11-106306 (UT)

Other Assisted Living Facility providers in Utah →

Registry record

NPI: 1689926313
Entity type: Organization
NPI issued: 4 Oct 2012
Record last updated: 4 Oct 2012

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.