Organization
ELDERLY MANOR ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY MENDENHALL (OWNER)
(801) 571-1010
Entity
Organization
Contact information
Practice address
1009 MURRAY HOLLADAY RD, SALT LAKE CITY, UT 84117-4921
(801) 268-6342
(801) 576-1372
Mailing address
1009 MURRAY HOLLADAY RD, SALT LAKE CITY, UT 84117-4921
(801) 268-6342
(801) 576-1372
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2006-ALI-239
UT
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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