| NPI | 1437118270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY BRUCE FLYGARE Business Manager 435-674-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2006-NCF-64983) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |