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Organization
SUNSHINE SENIOR LIVING LLC
Active
Organization
SUNSHINE SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDON L JOHANSEN MSW (ADMINISTRATOR)
(435) 414-4646
Entity
Organization
Contact information
Practice address
2456 E 2150 SOUTH CIR, SAINT GEORGE, UT 84790-6531
(435) 414-4646
Mailing address
2456 E 2150 SOUTH CIR, SAINT GEORGE, UT 84790-6531
(435) 414-4646
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2014-AL1-UT000G2G
UT
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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