OrganizationActive
Jwalker
NPI 1851237788 · Assisted Living Facility (Mental Illness) · Provo, UT
Provider details
- NPI number
- 1851237788
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Poulsen, Owner(801) 427-3310
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
566 S 1600 W
Provo, UT 84601-3915
Phone: (801) 427-3310
Approximate (ZIP-level) locationGet directions
Mailing address
566 S 1600 W
Provo, UT 84601-3915
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.