Organization
PAPPADAKIS ENTERPRISES
Active
Other names
MIDTOWN MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN N PAPPADAKIS OWNER (ADMINISTRATOR)
(801) 363-6340
Entity
Organization
Contact information
Practice address
125 S 900 W, SALT LAKE CITY, UT 84104-1125
(801) 363-6340
(801) 359-8533
Mailing address
125 S 900 W, SALT LAKE CITY, UT 84104-1125
(801) 363-6340
(801) 359-8533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2004-NCF-368
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990177673001
—
UT
Enumeration date
05/24/2005
Last updated
08/22/2020
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