- Facility Name
- GAHC4 WEST HAVEN UT TRS SUB, LLC
- Type / Classification
- Assisted Living Facility
- Address
- 3518 SOUTH 2625 WEST, WEST HAVEN, UT 84401
- Phone Number
- (801) 732-5290
- NPI Number
- 1063059939
- Authorized Official
- DANNY PROSKY (President)
- Enumeration Date
- 2019-12-10