| NPI | 1689675340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE LINCOLN VP, Policy/Gove RN Ment Relations 801-325-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2004-NCF-481) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-08-10 |