Organization
EAGLES SOAR INC.
Active
Other names
Majestic Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER MATJASICH (OWNER)
(801) 487-2248
Entity
Organization
Contact information
Practice address
433 E 2700 S, SALT LAKE CITY, UT 84115-3325
(801) 487-2248
(801) 746-8669
Mailing address
433 E 2700 S, SALT LAKE CITY, UT 84115-3325
(801) 487-2248
(801) 746-8669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
V12183
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870291297015
—
UT
Enumeration date
05/11/2006
Last updated
08/28/2007
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