Organization
DESERET CARE CENTER LLC
Active
Parent organization
DNR TWO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DNR TWO LLC
Authorized official
GARETT ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
950 E 3300 S, SALT LAKE CITY, UT 84106-2141
(801) 486-5121
Mailing address
950 E 3300 S, SALT LAKE CITY, UT 84106-2141
(801) 486-5121
(801) 486-5146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001989490
—
NV
Enumeration date
12/08/2010
Last updated
12/10/2013
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