Organization
LAYTON PARK MEMORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ANDERSEN (MANAGING MEMBER)
(801) 546-7417
Entity
Organization
Contact information
Practice address
101 N FORT LN, LAYTON, UT 84041-5682
(801) 823-3112
(801) 719-6473
Mailing address
1133 N MAIN ST # 300, LAYTON, UT 84041-4800
(801) 546-7417
(801) 546-5230
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HT008073
—
UT
Enumeration date
02/05/2019
Last updated
02/05/2019
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