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Organization
MG BOUNTIFUL SUBTENANT LLC
Active
Organization
MG BOUNTIFUL SUBTENANT LLC
Active
Other names
Truewood by Merrill, Bountiful
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS D. SPEAR (AUTHORIZED REPRESENTATIVE)
(206) 676-5300
Entity
Organization
Contact information
Practice address
1150 S MAIN ST, BOUNTIFUL, UT 84010-6351
(801) 298-3241
Mailing address
1938 FAIRVIEW AVE E STE 300, SEATTLE, WA 98102-3650
(206) 676-5300
(206) 676-5353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
05/25/2021
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