Organization
ASPEN SENIOR CENTER, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STAPLES (ADMINISTRATOR)
(801) 607-2300
Entity
Organization
Contact information
Practice address
3410 N CANYON RD, PROVO, UT 84604-4546
(801) 607-2300
Mailing address
3410 N CANYON RD, PROVO, UT 84604-4546
(801) 607-2300
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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