Organization
WAIKOLOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMA J. NELSON-BILLINGS SOCIAL SERVICE WORKE (ADMINISTRATOR)
(801) 824-1771
Entity
Organization
Contact information
Practice address
905 W 4000 S, BOUNTIFUL, UT 84010-8538
(801) 295-3171
(801) 295-5451
Mailing address
243 N 1000 W, WEST BOUNTIFUL, UT 84087-1930
(801) 824-1771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
UT
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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