Organization
PETERSEN FARMS ASSISTED LIVING & MEMORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT CROXFORD (ADMINISTRATOR)
(801) 388-3848
Entity
Organization
Contact information
Practice address
6980 S. 475 E., SOUTH WEBER, UT 84405
(801) 479-6000
Mailing address
6980 S. 475 E., SOUTH WEBER, UT 84405
(801) 479-6000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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