Organization
BRIGHTWORK VILLA AMERICAN FORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JULIAN (ADMINISTRATOR)
(801) 694-3205
Entity
Organization
Contact information
Practice address
272 W 500 N, AMERICAN FORK, UT 84003-1530
(801) 694-3205
Mailing address
1582 E BRIDLEBROOK CIR, SALT LAKE CITY, UT 84117-7442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2015-ALI-UT000399
UT
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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