DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELDERLY MANOR ASSISTED LIVING

MEDICARE: ELDERLY MANOR ASSISTED LIVING
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
1310400000XAssisted Living Facility2006-ALI-239UT

General Provider Information

NPI Number : 1700949195
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERLY MANOR ASSISTED LIVING
Provider Business Mailing Address
First Line : 1009 MURRAY HOLLADAY RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-4921
Country : US
Telephone Number : 801-268-6342
Fax Number : 801-576-1372
Provider Business Practice Location Address
First Line : 1009 MURRAY HOLLADAY RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-4921
Country : US
Telephone Number : 801-268-6342
Fax Number : 801-576-1372
Authorized Official
Title or Position : OWNER
Name : MR. GUY MENDENHALL
Credential :
Telephone Number : 801-571-1010
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1992434864 — AMBER REICH
Practice Location Address:
1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921
Practice Phone: 801-263-7115
Practice Fax:
1366219156 — VENEZIA CANO-REYES
Practice Location Address:
1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921
Practice Phone: 888-949-4864
Practice Fax:
1669243903 — CHARLENE MOSLEY
Practice Location Address:
1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921
Practice Phone: 801-263-7115
Practice Fax:
1013771799 — JOSHUA RILEY
Practice Location Address:
1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921
Practice Phone: 801-263-7115
Practice Fax:
1508616210 — MARCUS NELONS
Practice Location Address:
1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921
Practice Phone: 801-263-7115
Practice Fax:
1598206625 — DR. MARCUS ANDERSON DPT
Practice Location Address:
2172 SE BAYA DR STE 102
LAKE CITY, FL
32025-4921
Practice Phone: 386-243-0592
Practice Fax:

Directions to “ELDERLY MANOR ASSISTED LIVING ” 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 © 2007-2025 (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.