Organization
WELLINGTON MSL, LLC
Active
Other names
The Wellington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARY SIMON (SENIOR VICE PRESIDENT AND CFO)
(949) 242-1400
Entity
Organization
Contact information
Practice address
4522 S 1300 E, SALT LAKE CITY, UT 84117-4177
(801) 281-3477
(801) 268-1854
Mailing address
175 TECHNOLOGY DR, STE 200, IRVINE, CA 92618-2478
(949) 242-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2011-ALII-50458
UT
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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