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Organization
SD SUNNYSIDE LLC
Active
Organization
SD SUNNYSIDE LLC
Active
Other names
Sarah Daft Assisting Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD MIKESELL (BOARD PRESIDENT)
(801) 397-4000
Entity
Organization
Contact information
Practice address
737 S 1300 E, SALT LAKE CITY, UT 84102-3713
(801) 582-5104
(801) 582-8808
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 296-9117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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