Organization
EHS CENTERVILLE LLC
Active
Other names
Superior Assisted Living of Centerville
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RASBAND (PRESIDENT)
(801) 683-6521
Entity
Organization
Contact information
Practice address
463 RAWLINS CIR, CENTERVILLE, UT 84014-2104
(801) 683-6521
Mailing address
463 RAWLINS CIR, CENTERVILLE, UT 84014-2104
(801) 683-6521
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2014-ALI-82394
UT
385H00000X
Respite Care
2014-ALI-82394
UT
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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