Organization · Type 2 NPI
Chateau Brickyard Management LLC
Assisted Living Facility · Salt Lake City, UT
NPI number
1659624278
Active
Practice location
3080 S Richmond St
Salt Lake City, UT 84106-3000
Fax (801) 466-7650
Mailing address
1800 SW 1st Avenue, # 180
Portland, OR 97201-5362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1659624278
Chateau Brickyard Management LLC's National Provider Identifier is 1659624278, issued on Oct 19, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 19, 2012.