Provider Demographics
NPI:1124410451
Name:E.JONES LEGACY CARE HOMES
Entity type:Organization
Organization Name:E.JONES LEGACY CARE HOMES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:435-862-9997
Mailing Address - Street 1:325 S 200 E APT 9
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3649
Mailing Address - Country:US
Mailing Address - Phone:435-862-9997
Mailing Address - Fax:877-275-0877
Practice Address - Street 1:325 S 200 E APT 9
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3649
Practice Address - Country:US
Practice Address - Phone:435-862-9997
Practice Address - Fax:877-275-0877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9140798-0160310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility