Organization
CHP LAYTON UT TENANT CORP.
Active
Other names
Fairfield Village of Layton
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RAY MADDRON (SENIOR VICE PRESIDENT)
(407) 540-7519
Entity
Organization
Contact information
Practice address
1201 N FAIRFIELD RD, LAYTON, UT 84041-8321
(407) 540-7652
Mailing address
450 S ORANGE AVE, ORLANDO, FL 32801-3383
(801) 807-0111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
UT
311500000X
Alzheimer Center (Dementia Center)
—
UT
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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