Petersen Farms Assisted Living & Memory Care
NPI #1518525989 in South Weber, Utah
Provider Information
- NPI Number
- 1518525989
- Entity Type
- Organization
- Organization Name
- Petersen Farms Assisted Living & Memory Care
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 31, 2019
- Last Updated
- May 31, 2019
Practice Location
- Address
- 6980 S. 475 E.
- City
- South Weber
- State
- Utah
- ZIP Code
- 84405
- Phone
- (801) 479-6000
Authorized Official
- Name
- BRENT CROXFORD
- Title
- ADMINISTRATOR
- Phone
- (801) 388-3848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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