Provider Demographics
NPI:1386705820
Name:GARDENS RETIREMENT HOME
Entity type:Organization
Organization Name:GARDENS RETIREMENT HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARNESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-394-1400
Mailing Address - Street 1:1450 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-5225
Mailing Address - Country:US
Mailing Address - Phone:801-394-1400
Mailing Address - Fax:801-394-1403
Practice Address - Street 1:1450 9TH ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-5225
Practice Address - Country:US
Practice Address - Phone:801-394-1400
Practice Address - Fax:801-394-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2005-AL1-249310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility