Provider Demographics
NPI:1215285929
Name:SEASONS OF SANTAQUIN ASSISTED LIVING & MEMORY CARE
Entity type:Organization
Organization Name:SEASONS OF SANTAQUIN ASSISTED LIVING & MEMORY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-754-1108
Mailing Address - Street 1:785 EAST 150 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655
Mailing Address - Country:US
Mailing Address - Phone:801-754-1108
Mailing Address - Fax:801-754-1109
Practice Address - Street 1:785 EAST 150 SOUTH
Practice Address - Street 2:
Practice Address - City:SANTAQUIN
Practice Address - State:UT
Practice Address - Zip Code:84655
Practice Address - Country:US
Practice Address - Phone:801-754-1108
Practice Address - Fax:801-754-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility