NPI | 1063506848 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK WARD Chief Executive Officer 801-376-6185 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2006-SHCF-47328) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-06-09 |