Provider Demographics
NPI:1396119491
Name:FASTIGHET MANAGEMENT
Entity type:Organization
Organization Name:FASTIGHET MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:NUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-893-2503
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:15 W 100 N
Mailing Address - City:ELMO
Mailing Address - State:UT
Mailing Address - Zip Code:84521-0129
Mailing Address - Country:US
Mailing Address - Phone:435-653-2555
Mailing Address - Fax:435-653-2488
Practice Address - Street 1:15 W 100 N
Practice Address - Street 2:
Practice Address - City:ELMO
Practice Address - State:UT
Practice Address - Zip Code:84521
Practice Address - Country:US
Practice Address - Phone:435-653-2555
Practice Address - Fax:435-653-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2015-ALI-UT207319310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility