NPI | 1053808055 |
---|---|
Doing Business As | COVINGTON VILLAGE |
Entity Type | Organization |
Authorized Contact | DENNIS ALLEN S ALLEN Manager 435-232-4413 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2018-AZ11-UT000121) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |