THE WENTWORTH AT COTTONWOOD HEIGHTS NPI 1356416283

NPI Information

THE WENTWORTH AT COTTONWOOD HEIGHTS is an assisted living facility in Salt Lake City, UT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE WENTWORTH AT COTTONWOOD HEIGHTS NPI is 1356416283. The provider is registered as an organization entity type.

The provider's business location address is:

6895 WHITMORE WAY
SALT LAKE CITY, UT
ZIP 84121-003
Phone: (801) 943-3909
Fax: (801) 943-1021

The provider's authorized official is Larry N Blake .
The authorized official title is Owner and has the following contact phone number (310) 557-3788.

The CLIA number assigned to this NPI record is 46D2200255 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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