Organization
TIMPANOGOS TERRACE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT RASBAND (MANAGER)
(801) 683-9550
Entity
Organization
Contact information
Practice address
164 W 200 S, AMERICAN FORK, UT 84003-2344
(801) 216-4110
(801) 877-2232
Mailing address
164 W 200 S, AMERICAN FORK, UT 84003-2344
(801) 216-4110
(801) 877-2232
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2012-ALII-87810
UT
385H00000X
Respite Care
2012-ALII-87810
UT
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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