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Organization
ALTA RIDGE SOUTH JORDAN
Active
Organization
ALTA RIDGE SOUTH JORDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HOFFMANN (CONTROLLER)
(801) 748-2268
Entity
Organization
Contact information
Practice address
1928 WEST SHIELDS LANE, SOUTH JORDAN, UT 84095
(801) 676-8787
(801) 748-2269
Mailing address
1375 E 9400 S, SANDY, UT 84093-2903
(801) 748-2268
(801) 748-2269
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
APPLIED FOR
UT
311500000X
Alzheimer Center (Dementia Center)
Primary
APPLIED FOR
UT
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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