Organization
THE WENTWORTH AT COTTONWOOD HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY N BLAKE (OWNER)
(310) 557-3788
Entity
Organization
Contact information
Practice address
6895 WHITMORE WAY, SALT LAKE CITY, UT 84121-3003
(801) 943-3909
(801) 943-1021
Mailing address
6895 WHITMORE WAY, SALT LAKE CITY, UT 84121-3003
(801) 943-3909
(801) 943-1021
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
UT
Other
Enumeration date
11/24/2006
Last updated
04/20/2008
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