Organization
WENTWORTH AT EAST MILLCREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL WALKER (EXECUTIVE DIRECTOR)
(801) 485-4875
Entity
Organization
Contact information
Practice address
1871 E 3300 S, SALT LAKE CITY, UT 84106-3969
(801) 485-0123
Mailing address
1871 E 3300 S, SALT LAKE CITY, UT 84106-3969
(801) 485-0123
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2007-ALII-976
UT
Other
Enumeration date
08/23/2007
Last updated
07/07/2008
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