| NPI | 1457338956 |
|---|---|
| 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 |