Organization
SD SUNNYSIDE LLC
Active
Other names
Sarah Daft Assisting Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD MIKESELL (BOARD PRESIDENT)
(801) 397-4000
Entity
Organization
Contact information
Practice address
737 S 1300 E, SALT LAKE CITY, UT 84102-3713
(801) 582-5104
(801) 582-8808
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 296-9117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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