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1154842250
PROVIDENTIAL BBA OPERATING LP
BOUNTIFUL, UT
NPI
1154842250
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Entity Type
Organization
Authorized Contact
MICHELLE BROWN
CFO
801-397-8145
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2017-06-29
Last Update Date
2022-07-21
Business Address
PROVIDENTIAL BBA OPERATING LP
481 SOUTH 400 EAST
BOUNTIFUL, UT 84010-3801
Phone number: 801-295-2361
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Mailing Address
PROVIDENTIAL BBA OPERATING LP
485 E 500 S
BOUNTIFUL, UT 84010-3801
Phone number: 801-295-2361
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