| NPI | 1700862380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR RALPH Owner 801-322-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2005-NCF-32482) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |