Organization
CEDAR CITY NURSING HOME LLC
Active
Other names
Kolob Regional Care & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLADE HAMILTON (ADMINISTRATOR)
(435) 586-6481
Entity
Organization
Contact information
Practice address
411 W 1325 N, CEDAR CITY, UT 84720-7720
(435) 586-6481
(435) 586-0363
Mailing address
411 W 1325 N, CEDAR CITY, UT 84720-7720
(435) 586-6481
(435) 586-0363
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-9975
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870317400001
—
UT
Enumeration date
05/01/2006
Last updated
06/10/2013
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