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Organization

FRIENDSHIP VILLA CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALTER MATJASICH (PRESIDENT)
(801) 466-0966
Entity
Organization

Contact information

Practice address
3094 S STATE ST, SALT LAKE CITY, UT 84115-3834
(801) 487-7887
(801) 466-3634
Mailing address
PO BOX 65007, SALT LAKE CITY, UT 84165-0007
(801) 487-7887
(801) 466-3634

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
6170
UT

Other

Enumeration date
08/12/2005
Last updated
11/20/2008
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