| NPI | 1235673591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LONG Billing Administrator 801-471-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 9739) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |