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Contact Information

PETERSEN FARMS ASSISTED LIVING & MEMORY CARE
6980 S. 475 E.
SOUTH WEBER, UT84405
 Phone: 801-479-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PETERSEN FARMS ASSISTED LIVING & MEMORY CARE

NPI # 1518525989
LBN Legal business name PETERSEN FARMS ASSISTED LIVING & MEMORY CARE
Authorized official BRENT CROXFORD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2019
Last updated 05/31/2019 - About 7 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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