NPI | 1003846478 |
---|---|
Doing Business As | COMMUNITY LIVING CENTER |
Entity Type | Organization |
Authorized Contact | CINDY N PETERSON Administrator/Owner 435-528-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 2004-NCF-67) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2011-07-01 |