Provider Demographics
NPI:1871788364
Name:BEEHIVE HOMES OF PG SOUTH LLC
Entity type:Organization
Organization Name:BEEHIVE HOMES OF PG SOUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-361-7809
Mailing Address - Street 1:565 E 300 S
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2953
Mailing Address - Country:US
Mailing Address - Phone:801-785-9333
Mailing Address - Fax:801-796-7593
Practice Address - Street 1:565 E 300 S
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2953
Practice Address - Country:US
Practice Address - Phone:801-785-9333
Practice Address - Fax:801-796-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility