Provider Demographics
NPI:1144397423
Name:SENIOR MANAGEMENT SERVICES,LLC
Entity Type:Organization
Organization Name:SENIOR MANAGEMENT SERVICES,LLC
Other - Org Name:CHANCELLOR GARDENS OF CLEARFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-779-0798
Mailing Address - Street 1:1425 SOUTH 1500 EAST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015
Mailing Address - Country:US
Mailing Address - Phone:801-779-0798
Mailing Address - Fax:801-779-2798
Practice Address - Street 1:1425 SOUTH 1500 EAST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:801-779-0798
Practice Address - Fax:801-779-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2004-AL2-15704310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility