Provider Demographics
NPI: | 1558421115 |
---|---|
Name: | BEEHIVE HOMES OF WASHINGTON COUNTY, INC. |
Entity Type: | Organization |
Organization Name: | BEEHIVE HOMES OF WASHINGTON COUNTY, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MARK |
Authorized Official - Middle Name: | RULON |
Authorized Official - Last Name: | CORRY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 435-619-0499 |
Mailing Address - Street 1: | 1122 N CORAL CANYON BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | WASHINGTON |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84780-2517 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 435-619-0499 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2041 MESA PALMS DR |
Practice Address - Street 2: | |
Practice Address - City: | ST GEORGE |
Practice Address - State: | UT |
Practice Address - Zip Code: | 84770-5546 |
Practice Address - Country: | US |
Practice Address - Phone: | 435-634-1119 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-12 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
UT | 310400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |