| NPI | 1336133370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE LINCOLN VP, Policy/Gove RN Ment Relations 801-325-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2641) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2015-06-12 |