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Organization

HERITAGE HOME FOR THE ELDERLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RANDILYN JACOBS (ADMINISTRATOR)
(801) 820-5589
Entity
Organization

Contact information

Practice address
1273 E 3075 N, LAYTON, UT 84040-7306
(801) 820-5589
Mailing address
1273 E 3075 N, LAYTON, UT 84040-7306
(801) 820-5589

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2010-AL1-96155
UT

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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