Organization
CUMBERLAND RESIDENTIAL CARE, LLC
Active
Other names
CUMBERLAND RESIDENTIAL CARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YANNICK NDAYISEGA (CEO)
(207) 618-3784
Entity
Organization
Contact information
Practice address
2825 EAST COTTONWOOD PARKWAY, SUITE 500, COTTONWOOD HEIGHTS, UT 84121
(207) 618-3784
Mailing address
2825 E COTTONWOOD PKWY STE 500, COTTONWOOD HEIGHTS, UT 84121-7060
(207) 618-3784
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790454486
—
AZ
Enumeration date
12/10/2021
Last updated
12/10/2021
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