Healthcare Provider Details

I. General information

NPI: 1245705276
Provider Name (Legal Business Name): ALL SEASONS HEALTH SERVICES COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 W 1325 N
CEDAR CITY UT
84721-7720
US

IV. Provider business mailing address

1866 E ORCHARD HOLLOW LN
HOLLADAY UT
84124-1786
US

V. Phone/Fax

Practice location:
  • Phone: 435-590-3237
  • Fax:
Mailing address:
  • Phone: 801-637-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CARRIE WATTS
Title or Position: BUSINESS DEVELOPMENT MANAGER
Credential:
Phone: 801-637-1165