| NPI | 1316490402 |
|---|---|
| Doing Business As | CARESOURCE REHAB AND SUPPORTIVE CARE |
| Entity Type | Organization |
| Authorized Contact | SHAWNTEL TANNER CEO 801-266-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2016-NCF-UT000747) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |