Organization
JWALKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M POULSEN SR. (OWNER)
(801) 427-3310
Entity
Organization
Contact information
Practice address
67 W 1200 N, OREM, UT 84057-2606
(801) 427-3310
Mailing address
67 W 1200 N, OREM, UT 84057-2606
(801) 427-3310
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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