| NPI | 1144528290 | 
|---|---|
| Doing Business As | FOUR CORNERS REGIONAL CARE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | CRAIG VAL DAVIDSON CEO/Administrator 435-438-7100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility | 
| Enumeration Date | 2011-03-14 | 
| Last Update Date | 2015-05-11 |