| NPI | 1699602003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ERICKSON CEO 435-754-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |