Organization
NIITSUMA LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA NIITSUMA OWNER (ADMINISTRATOR)
(801) 269-1230
Entity
Organization
Contact information
Practice address
4347 S 700 E, SALT LAKE CITY, UT 84107-3063
(801) 269-1230
(801) 269-1230
Mailing address
4347 S 700 E, SALT LAKE CITY, UT 84107-3063
(801) 269-1230
(801) 269-1230
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL17234
UT
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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