Organization
REID'S PARK PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY REID (ADMINISTRATOR)
(801) 491-8979
Entity
Organization
Contact information
Practice address
554 S 400 E, SPRINGVILLE, UT 84663-2261
(801) 491-8979
(801) 491-8979
Mailing address
554 S 400 E, SPRINGVILLE, UT 84663-2261
(801) 491-8979
(801) 491-8979
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL1-16789
UT
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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