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Organization
BLACKBIRD CARE
Active
Organization
BLACKBIRD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAYE WILSON RN (OWNER)
(801) 792-6033
Entity
Organization
Contact information
Practice address
7922 S GOLDENPOINTE WAY, WEST JORDAN, UT 84088-7672
(801) 792-6033
Mailing address
7922 S GOLDENPOINTE WAY, WEST JORDAN, UT 84088-7672
(801) 792-6033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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