NPI | 1174520472 |
---|---|
Doing Business As | FAIRVIEW CARE CENTER - EAST |
Entity Type | Organization |
Authorized Contact | JOHN RAY BURTON CEO 801-355-6891 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 2005-NCF-107) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2020-08-22 |