NPI | 1962645507 |
---|---|
Doing Business As | MIDTOWN MANOR |
Entity Type | Organization |
Authorized Contact | ROBERT ADAMS Owner / Director Of Nursing 801-363-6340 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2009-04-13 |
Last Update Date | 2011-11-16 |