| NPI | 1144405036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARN DAG ROTHEY Owner 801-759-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 3382574201) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |