Provider Demographics
NPI:1215568795
Name:A LEVEL VENTURES
Entity Type:Organization
Organization Name:A LEVEL VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-635-4394
Mailing Address - Street 1:1786 COUNTRY CIR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-1069
Mailing Address - Country:US
Mailing Address - Phone:801-635-4394
Mailing Address - Fax:
Practice Address - Street 1:1923 E 2000 S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:UT
Practice Address - Zip Code:84078-9696
Practice Address - Country:US
Practice Address - Phone:801-635-4394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A LEVEL VENTRUES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility