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1487164505
EVERGREEN PLACE LLC
WEST VALLEY CITY, UT
NPI
1487164505
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Entity Type
Organization
Authorized Contact
JORGE GUSTAVO GONZALEZ VILLARRUEL
Owner
801-921-0070
Organization Subpart ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
EVERGREEN PLACE LLC
3481 W 3100 S
WEST VALLEY CITY, UT 84119-2559
Phone number: 801-921-0070
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Mailing Address
EVERGREEN PLACE LLC
PO BOX 9193
MIDVALE, UT 84047-9193
Phone number:
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