Organization
BRIGHTWORK VILLA PARK PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JULIAN (OWNER)
(801) 694-3205
Entity
Organization
Contact information
Practice address
565 E 300 S, PLEASANT GROVE, UT 84062-2953
(801) 694-3205
Mailing address
1582 E BRIDLEBROOK CIR, SALT LAKE CITY, UT 84117-7442
(801) 694-3205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2016-ALI-UT000405
UT
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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