Utnv Willow Creek, Llc

NPI 1518398965 - Assisted Living Facility - 310400000X

NPI Details
NPI 1518398965
Enumeration Date 12/11/2013
Last Updated 12/11/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KENNETH R. KENNETH
Position MANAGER
Phone (801) 733-6363
Fax
Practice Location
8325 S HIGHLAND DR
SANDY UT, 84093-1000, US
Phone (801) 733-6363
Fax
Business Location
1422 CLARKVIEW RD
BALTIMORE MD, 21209-2385, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State Utah
License Number 2013-ACII-23016
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According to our database, Utnv Willow Creek, Llc NPI is 1518398965, taxonomy code is 310400000X and license number is 2013-ACII-23016, license state is located at Utah. Utnv Willow Creek, Llc physically located at 8325 S Highland Dr, Sandy UT, 84093-1000. NPI Number 1033115704 has the healthcare provider type.

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1518398965 NPI number is provided on an as is basis without warranty of any kind. 1518398965 is maintained by the National Plan & Provider Enumeration System. The contents of Utnv Willow Creek, Llc are for informational purposes only.