Organization
AUTUMN PARK ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HOLUB (ADMINISTRATOR)
(435) 275-4458
Entity
Organization
Contact information
Practice address
548 N 1100 E, WASHINGTON, UT 84780-2980
(435) 275-4458
Mailing address
548 N 1100 E, WASHINGTON, UT 84780-2980
(435) 275-4458
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
04/14/2020
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