| NPI | 1447572276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A JOHNSON Office Manager 801-414-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-08-12 |