Organization
AVALON CARE CENTER - BOUNTIFUL 350 SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE LINCOLN (V.P. POLICY/GOVERNMENT RELATIONS)
(801) 325-0153
Entity
Organization
Contact information
Practice address
350 S 400 E, BOUNTIFUL, UT 84010-4932
(801) 397-4900
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 325-0153
(801) 596-0900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
UT
Other
Enumeration date
05/08/2006
Last updated
07/21/2022
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