Provider Demographics
NPI:1669811790
Name:ALL SEASONS HEALTH SERVICES COMPANY
Entity type:Organization
Organization Name:ALL SEASONS HEALTH SERVICES COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-637-1165
Mailing Address - Street 1:1011 S 1200 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-1524
Mailing Address - Country:US
Mailing Address - Phone:801-637-1165
Mailing Address - Fax:
Practice Address - Street 1:330 S 400 E
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3461
Practice Address - Country:US
Practice Address - Phone:435-590-3237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SEASONS HEALTH SERVICES COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-21
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
UT310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility