Organization
MOUNTAIN LAND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BRUNSON (RECRUITER)
(801) 942-3311
Entity
Organization
Contact information
Practice address
1952 EAST 7000 SOUTH, SALT LAKE CITY, UT 84121
(801) 942-3311
(801) 942-5955
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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