| NPI | 1225030810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MATJASICH President 801-466-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 6170) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-11-20 |