OrganizationActive
1031cf Portfolio 4 Mt LLC
NPI 1689358913 · Assisted Living Facility · St George, UT
Provider details
- NPI number
- 1689358913
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- 1031cf Portfolio 4 Mt LLC
- Authorized official
- Edward Fernandez, Authorized Designee
Mailing address
2654 Red Cliffs Dr
St George, UT 84790-5827
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.