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Organization
WESTSIDE COMMUNITY NURSING CENTER
Active
Organization
WESTSIDE COMMUNITY NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHAVIS (ADMINISTRATOR)
(801) 355-9649
Entity
Organization
Contact information
Practice address
876 W 700 S, SALT LAKE CITY, UT 84104-1404
(801) 355-9649
(801) 531-7003
Mailing address
876 W 700 S, SALT LAKE CITY, UT 84104-1404
(801) 355-9649
(801) 531-7003
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
UT
Other
Enumeration date
05/31/2005
Last updated
08/22/2020
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