GAHC4 WEST HAVEN UT TRS SUB, LLC; NPI #1063059939

Contact Information

GAHC4 WEST HAVEN UT TRS SUB, LLC

3518 SOUTH 2625 WEST
WEST HAVEN, UT 84401

Phone: 801-732-5290
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for GAHC4 WEST HAVEN UT TRS SUB, LLC

NPI Number	`1063059939`
LBN Legal business name	GAHC4 WEST HAVEN UT TRS SUB, LLC
Authorized official	DANNY PROSKY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/10/2019
Last updated	12/10/2019 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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