| NPI | 1992944151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT THOMAS Systems Administrator 801-296-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-340) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |