| NPI | 1366910994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE HIXSON Controller 801-601-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-02-18 |