NPI | 1649454703 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVEN B PETTIT Administrator/Owner 801-614-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2007-12-26 |
Last Update Date | 2015-02-10 |