NPI 1255535522

Regent Salt Lake LLC

Organisation Assisted Living Facility Midvale, UT

Practice location

Address: 7235 Union Park Ave, Midvale, UT 84047-4700
Phone: (801) 568-9909
Fax: (801) 563-1305

Authorised official

Name: Walter C. Bowen
Title: Ceo/Owner
Phone: (503) 595-3083

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Utah →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2006-ALII-25557 (UT)

Registry record

NPI: 1255535522
Entity type: Organization
NPI issued: 12 Jun 2007
Record last updated: 30 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.