# WELBROOK SENIOR LIVING FLAGSTAFF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255860763
- **Authorized official:** MATT RASBAND (CEO)
- **Authorized official phone:** (801) 683-6565

## Contact information

- **Practice address:** 1521 N PINE CLIFF DR, FLAGSTAFF, AZ 86001
- **Practice address phone:** (801) 683-6565
- **Mailing address:** 450 S 400 E STE 200, BOUNTIFUL, UT 84010-5094
- **Mailing address phone:** (801) 683-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/12/2018