Organization
COUNTRY VIEW ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WAYNE BRAMALL (PRESIDENT)
(435) 673-5496
Entity
Organization
Contact information
Practice address
2901 W CENTER ST, PROVO, UT 84601-3659
(801) 377-7737
Mailing address
2901 W CENTER ST, PROVO, UT 84601-3659
(801) 377-7737
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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