Autumn Park INC
NPI #1487167805 in Washington, Utah
Provider Information
- NPI Number
- 1487167805
- Entity Type
- Organization
- Organization Name
- Autumn Park INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 7, 2017
- Last Updated
- Nov 7, 2017
Practice Location
- Address
- 548 N 1100 E
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-2980
- Phone
- (435) 275-4458
Authorized Official
- Name
- PATRICK R JACKMAN
- Title
- OWNER
- Phone
- (435) 275-4458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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