Organization
HENNEFER'S HOME FOR THE ELDERLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRNA JEAN HENNEFER (OWNER/ADMINISTRATOR)
(801) 265-9617
Entity
Organization
Contact information
Practice address
1200 E 4500 S, SALT LAKE CITY, UT 84117-4127
(801) 265-9617
Mailing address
1200 E 4500 S, SALT LAKE CITY, UT 84117-4127
(801) 265-9617
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2010-ALI-364
UT
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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