NPI | 1386483329 |
---|---|
Doing Business As | SULLIVAN PARK CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOHN MITCHELL Secretary 801-447-9829 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-05-20 |