| NPI | 1346235645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE L HALLING Adm 801-225-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 2005NCF2005) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |