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 |