Organization
OVERLAKE TERRACE ASSISTED LIVING
Active
Parent organization
STELLAR SENIOR LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
STELLAR SENIOR LIVING
Authorized official
AARON C BENTON (SENIOR VICE PRESIDENT)
(801) 790-4652
Entity
Organization
Contact information
Practice address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 790-4652
(801) 214-1970
Mailing address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 790-4652
(801) 214-1970
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
603224991
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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