| NPI | 1003075359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA FETTERMAN Certified Occupational Therapy Asst 801-532-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 333708-4202) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |