| NPI | 1992702559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ROBERTSON Owner 801-296-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N-059-004) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-08-11 |