| NPI | 1104665520 |
|---|---|
| Doing Business As | PORTHAVEN POST ACUTE |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Secretary 801-447-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |