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Organization
5STAR HOME OF SANDY
Active
Organization
5STAR HOME OF SANDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE GUSTAVO GONZALEZ (ADMINISTRATOR)
(801) 753-9130
Entity
Organization
Contact information
Practice address
465 E SEGO LILY DR, SANDY, UT 84070-3547
(801) 523-8777
(801) 523-1132
Mailing address
465 E SEGO LILY DR, SANDY, UT 84070-3547
(801) 523-8777
(801) 523-1132
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2015-ALI-UT207199
UT
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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