Autumn Park Assisted Living LLC
NPI #1154951572 in Washington, Utah
Provider Information
- NPI Number
- 1154951572
- Entity Type
- Organization
- Organization Name
- Autumn Park Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 24, 2020
- Last Updated
- Apr 14, 2020
Practice Location
- Address
- 548 N 1100 E
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-2980
- Phone
- (435) 275-4458
Authorized Official
- Name
- CHRIS HOLUB
- Title
- ADMINISTRATOR
- Phone
- (435) 275-4458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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