| NPI | 1699776500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH DANTELEY Administrator 801-266-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 0002218) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2009-04-15 |