Organization
WESTERN STATES LODGING & DEVELOPMENT
Active
Other names
Legacy House of Bountiful
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID REED WEBSTER JR. (ADMINISTRATOR)
(801) 294-1702
Entity
Organization
Contact information
Practice address
79 E CENTER ST, BOUNTIFUL, UT 84010-6126
(801) 294-2925
(801) 298-7914
Mailing address
79 E CENTER ST, BOUNTIFUL, UT 84010-6126
(801) 294-2925
(801) 298-7914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2005-ALII-971
UT
Other
Enumeration date
02/05/2007
Last updated
06/18/2008
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