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Organization
JORDAN HOUSE ASSISTED LIVING, LC
Active
Organization
JORDAN HOUSE ASSISTED LIVING, LC
Active
Other names
Legacy House of South Jordan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAUNICE KAY MINOR (EXECUTIVE ASSISTANT)
(801) 269-0700
Entity
Organization
Contact information
Practice address
1517 TEMPLE LN, SOUTH JORDAN, UT 84095-2415
(801) 254-0373
(801) 254-0250
Mailing address
1517 TEMPLE LN, SOUTH JORDAN, UT 84095-2415
(801) 254-0373
(801) 254-0250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALII17895
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALII17895
STATE LICENSE NUMBER
UT
Enumeration date
01/09/2007
Last updated
07/11/2008
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