NPI | 1457338956 |
---|---|
Doing Business As | HILLSIDE REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | GARY M. KELSO President 801-389-1523 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2005 ncf 467) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2014-09-16 |