Provider Demographics
NPI:1841500287
Name:THREE HILL MANAGEMENT, LLC.
Entity type:Organization
Organization Name:THREE HILL MANAGEMENT, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JENSEN
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-541-3336
Mailing Address - Street 1:3766 N 3675 W
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9890
Mailing Address - Country:US
Mailing Address - Phone:801-541-3336
Mailing Address - Fax:801-876-3001
Practice Address - Street 1:931 E 1225 N
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-7702
Practice Address - Country:US
Practice Address - Phone:801-541-3336
Practice Address - Fax:801-876-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2010-ALI-94826310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility