| NPI | 1790158335 |
|---|---|
| Doing Business As | PROVIDENCE ANDERSON |
| Entity Type | Organization |
| Authorized Contact | JASON MURRAY President 801-721-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |