| NPI | 1124021050 |
|---|---|
| Doing Business As | MIDTOWN MANOR |
| Entity Type | Organization |
| Authorized Contact | JOHN N PAPPADAKIS Administrator 801-363-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2004-NCF-368) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |