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Organization
DIGNIFIED LIVING CV LLC
Active
Organization
DIGNIFIED LIVING CV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYEL R LARSEN (ADMINISTRATOR)
(435) 770-6563
Entity
Organization
Contact information
Practice address
2580 W 4400 N, BENSON, UT 84335-9733
(435) 770-6563
Mailing address
2580 W 4400 N, BENSON, UT 84335-9733
(435) 770-6563
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2013PCAUT000503
UT
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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