Organization
UTNV WENTWORTH AT COTTONWOOD HEIGHTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ASSIRAN (MANAGER)
(410) 769-5882
Entity
Organization
Contact information
Practice address
6895 S WHITMORE WAY, SALT LAKE CITY, UT 84121-3003
(801) 943-3909
Mailing address
1422 CLARKVIEW RD, BALTIMORE, MD 21209-2385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2013-ALII-63901
UT
Other
Enumeration date
12/11/2013
Last updated
12/16/2013
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