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Organization

DIAMOND JANE'S, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAUREEN B PETERSON (OWNER)
(435) 579-4402
Entity
Organization

Contact information

Practice address
345 S HALE ST, GRANTSVILLE, UT 84029-9546
(435) 809-3918
Mailing address
345 S HALE ST, GRANTSVILLE, UT 84029-9546
(435) 809-3918

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2009-ALII-90309
UT

Other

Enumeration date
08/06/2010
Last updated
08/06/2010
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