Mg Cottonwood Heights Subtenant LLC
NPI #1841828803 in Cottonwood Heights, Utah
Provider Information
- NPI Number
- 1841828803
- Entity Type
- Organization
- Organization Name
- Mg Cottonwood Heights Subtenant LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 27, 2020
- Last Updated
- May 25, 2021
Practice Location
- Address
- 7235 S UNION PARK AVE
- State
- Utah
- ZIP Code
- 84047-4700
- Phone
- (801) 568-9909
Authorized Official
- Name
- DOUGLAS D. SPEAR
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (206) 676-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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