NPI | 1174858823 |
---|---|
Former Legal Business Name | PARAGON HEALTHCARE OF UTAH, LLC |
Entity Type | Organization |
Authorized Contact | DAWN FIELDING Executive Director 801-479-9644 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 7487072-0161) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2012-05-31 |