# WESTSIDE COMMUNITY NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457354755
- **Authorized official:** SUSAN CHAVIS (ADMINISTRATOR)
- **Authorized official phone:** (801) 355-9649

## Contact information

- **Practice address:** 876 W 700 S, SALT LAKE CITY, UT 84104-1404
- **Practice address phone:** (801) 355-9649
- **Practice address fax:** (801) 531-7003
- **Mailing address:** 876 W 700 S, SALT LAKE CITY, UT 84104-1404
- **Mailing address phone:** (801) 355-9649
- **Mailing address fax:** (801) 531-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | UT | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/22/2020