Organization
REGENT SALT LAKE LLC
Active
Other names
Canyon Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER C. BOWEN (CEO/OWNER)
(503) 595-3083
Entity
Organization
Contact information
Practice address
7235 UNION PARK AVE, MIDVALE, UT 84047-4700
(801) 568-9909
(801) 563-1305
Mailing address
7235 UNION PARK AVE, MIDVALE, UT 84047-4700
(801) 568-9909
(801) 563-1305
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
2006-ALII-25557
UT
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/30/2008
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