Organization
BOUNTIFUL CARE CENTER, LLC
Active
Other names
Avalon Care Center - Bountiful LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE LINCLON (VP POLICY/GOVERNMENT RELATIONS)
(801) 325-0153
Entity
Organization
Contact information
Practice address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(801) 951-1600
(801) 951-1700
Mailing address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(801) 951-1600
(801) 951-1700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-59821
UT
Other
Enumeration date
08/03/2005
Last updated
09/02/2008
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