| NPI | 1285786806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELINDA SPEK Adminstrator 801-266-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2007 ncf 491) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |