124 SOUTH FAIRFIELD LLC

LAYTON, UT
NPI1578100186
Entity TypeOrganization
Authorized ContactERIC MANSELL
Manager
801-791-2202
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2019-12-02
Last Update Date2020-09-11
Business Address
124 SOUTH FAIRFIELD LLC
124 S FAIRFIELD RD STE B
LAYTON, UT 84041-7106
Phone number: 801-719-2316
Mailing Address
124 SOUTH FAIRFIELD LLC
124 S FAIRFIELD RD STE B
LAYTON, UT 84041-7106
Phone number: 801-719-2316