Organization
OAK RIDGE ASSISTED LIVING OF BOUNTIFUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER YOUNG (ADMIN)
(801) 879-2664
Entity
Organization
Contact information
Practice address
905 W 4000 S, BOUNTIFUL, UT 84010-8538
(801) 295-3171
Mailing address
905 W 4000 S, BOUNTIFUL, UT 84010-8538
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234
—
UT
Enumeration date
03/25/2021
Last updated
03/25/2021
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