| NPI | 1639446297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F BUCKLEY Executive Director 801-417-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-09-27 |