NPI | 1184118390 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY G MARTIN CFO 801-489-9191 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 870637683010) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-06-20 |