Organization
M LLC
Active
Other names
Covington Village
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ALLEN S ALLEN (MANAGER)
(435) 232-4413
Entity
Organization
Contact information
Practice address
92 S 800 E, OREM, UT 84097-5714
(801) 494-2042
Mailing address
92 S 800 E, OREM, UT 84097-5714
(801) 494-2042
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2018-AZ11-UT000121
UT
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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