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Organization
GAHC4 WEST HAVEN UT TRS SUB, LLC
Active
Organization
GAHC4 WEST HAVEN UT TRS SUB, LLC
Active
Other names
Lotus Park Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
3518 SOUTH 2625 WEST, WEST HAVEN, UT 84401
(801) 732-5290
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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