Provider Demographics
NPI:1710224530
Name:BEEHIVE OF VERNAL INC.
Entity Type:Organization
Organization Name:BEEHIVE OF VERNAL INC.
Other - Org Name:BEEHIVE HOMES OF VERNAL #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:SYLVANUS
Authorized Official - Last Name:COLLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-790-7846
Mailing Address - Street 1:2294 W 900 N
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-8301
Mailing Address - Country:US
Mailing Address - Phone:435-790-7846
Mailing Address - Fax:435-789-3453
Practice Address - Street 1:540 S 2050 W
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-4011
Practice Address - Country:US
Practice Address - Phone:435-789-3456
Practice Address - Fax:435-789-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2012-ALII-81006310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility