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Organization
HAZEN NURSING HOME, INC
Active
Organization
HAZEN NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAINE TUFT (ADMINISTRATOR)
(801) 972-1050
Entity
Organization
Contact information
Practice address
2520 S REDWOOD RD, WEST VALLEY CITY, UT 84119-2215
(801) 972-1050
Mailing address
2520 S REDWOOD RD, WEST VALLEY CITY, UT 84119-2215
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2008-NCF-52
UT
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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