| NPI | 1952708182 |
|---|---|
| Doing Business As | PINE CREEK REHABILITATION AND NURSING |
| Entity Type | Organization |
| Authorized Contact | WALTER ERIC MYERS Manager 801-709-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-11-13 |