OrganizationActive
Autumn Park Assisted Living LLC
NPI 1154951572 · Assisted Living Facility · Washington, UT
Provider details
- NPI number
- 1154951572
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Chris Holub, Administrator(435) 275-4458
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
548 N 1100 E
Washington, UT 84780-2980
Phone: (435) 275-4458
Approximate (ZIP-level) locationGet directions
Mailing address
548 N 1100 E
Washington, UT 84780-2980
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.