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Organization
1925 N STATE STREET OPCO, LLC
Active
Organization
1925 N STATE STREET OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FINE (CHIEF ADMINISTRATIVE OFFICER)
(602) 900-9020
Entity
Organization
Contact information
Practice address
1925 N STATE ST, OREM, UT 84057-2057
(801) 494-2020
Mailing address
24901 DANA POINT HARBOR DR STE A200, DANA POINT, CA 92629-2930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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