HERITAGE PLACE MANAGEMENT LLC NPI 1942553573

NPI Information

HERITAGE PLACE MANAGEMENT LLC is an assisted living facility in Bountiful, 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. HERITAGE PLACE MANAGEMENT LLC NPI is 1942553573. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Place.

The provider's business location address is:

1150 S MAIN ST
BOUNTIFUL, UT
ZIP 84010-351
Phone: (801) 298-3241
Fax: (801) 298-3265

The provider's authorized official is Amy Allen .
The authorized official title is Ceo, President & Secretary and has the following contact phone number (212) 478-4117.

The CLIA number assigned to this NPI record is 46D1005751 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 10/19/2012.

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:

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