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Organization
OVERLAKE TERRACE ASSISTED LIVING
Active
Organization
OVERLAKE TERRACE ASSISTED LIVING
Active
Parent organization
STELLAR SENIOR LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
STELLAR SENIOR LIVING
Authorized official
AARON C BENTON (SENIOR VICE PRESIDENT)
(801) 790-4652
Entity
Organization
Contact information
Practice address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 790-4652
(801) 214-1970
Mailing address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 790-4652
(801) 214-1970
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
603224991
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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