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Organization
EHS CENTERVILLE LLC
Active
Organization
EHS CENTERVILLE LLC
Active
Other names
Superior Assisted Living of Centerville
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RASBAND (PRESIDENT)
(801) 683-6521
Entity
Organization
Contact information
Practice address
463 RAWLINS CIR, CENTERVILLE, UT 84014-2104
(801) 683-6521
Mailing address
463 RAWLINS CIR, CENTERVILLE, UT 84014-2104
(801) 683-6521
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2014-ALI-82394
UT
385H00000X
Respite Care
2014-ALI-82394
UT
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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