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EVERWOOD PROPERTIES NPI 1144463803


NPI Information

NPI: 1144463803
Provider Name: EVERWOOD PROPERTIES

Doing Business As: WILLIAMSBURG RETIREMENT COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 46D2196211

Address:
132 W 300 N
LOGAN, UT
ZIP 84321
Phone: (435) 753-5502
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EVERWOOD PROPERTIES is an assisted living facility in Logan, 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. EVERWOOD PROPERTIES NPI is 1144463803. The provider is registered as an organization entity type.
The provider Is Doing Business As Williamsburg Retirement Community.

The provider's business location address is:

132 W 300 N
LOGAN, UT
ZIP 84321-954
Phone: (435) 753-5502
Fax: (435) 753-5547

The provider's authorized official is Scott B. Monson .
The authorized official title is Principal and has the following contact phone number (435) 753-5502.

The CLIA number assigned to this NPI record is 46D2196211 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2008-AL1-79401UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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