Organization
PORTER'S NURSING HOME INC.
Active
Other names
Porter's Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN ERICKSON (CEO)
(801) 489-8263
Entity
Organization
Contact information
Practice address
126 W 200 N, ST GEORGE, UT 84770-2702
(435) 628-1601
Mailing address
PO BOX 2528, ST GEORGE, UT 84771-2528
(435) 628-1601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-78
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870261795017
—
UT
Enumeration date
10/26/2005
Last updated
08/22/2020
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