| NPI | 1063669067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAINE TUFT Administrator 801-972-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 2008-NCF-52) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |