MEDICARE: OK SENIOR HOUSING HOLLADAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		UT

General Provider Information

NPI Number	:	1083789770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OK SENIOR HOUSING HOLLADAY

Provider Business Mailing Address
First Line	:	4522 S 1300 E
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84117-4177
Country	:	US
Telephone Number	:	801-281-3477
Fax Number	:	801-268-1854

Provider Business Practice Location Address
First Line	:	4522 S 1300 E
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84117-4177
Country	:	US
Telephone Number	:	801-281-3477
Fax Number	:	801-268-1854

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DEVIN S. ALLRED
Credential	:	BS, HFA, CAM, CMCA
Telephone Number	:	801-281-3477

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1568759488 — WELLINGTON MSL, LLC
Practice Location Address:

4522 S 1300 E
SALT LAKE CITY, UT
84117-4177

Practice Phone: 801-281-3477
Practice Fax: 801-268-1854

1588163869 — SSSHT OPCO 4522 S 1300 E LLC
Practice Location Address:

4522 S 1300 E
SALT LAKE CITY, UT
84117-4177

Practice Phone: 801-281-3477
Practice Fax:

1861138893 — LISA MARIE SCHIFF
Practice Location Address:

4522 S 1300 E
SALT LAKE CITY, UT
84117-4177

Practice Phone: 385-743-2171
Practice Fax:

1568207884 — MICHAEL JONATHAN HALL DPT
Practice Location Address:

4522 S 1300 E
MILLCREEK, UT
84117-4177

Practice Phone: 385-446-9881
Practice Fax:

1215047287 — DR. ROBERT G. NAYLOR M.D.
Practice Location Address:

1434 E. 4500 S. , #200
SLC, UT
84117

Practice Phone: 801-263-8511
Practice Fax: 801-266-7243

1811007891 — MRS. ERIKA C LLOYD M.D.
Practice Location Address:

1434 E. 4500 S. , #200
SLC, UT
84117

Practice Phone: 801-263-8511
Practice Fax: 801-266-7243

Directions to “OK SENIOR HOUSING HOLLADAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.