Organization
MCPHERSON CARE CENTER LLC
Active
Parent organization
DNR TWO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DNR TWO LLC
Authorized official
TRUNG K LAM (DIR OF FINANCE)
(801) 296-5149
Entity
Organization
Contact information
Practice address
500 N MARKET PLACE DR, SUITE 203, CENTERVILLE, UT 84014-1708
(801) 296-5105
Mailing address
500 N MARKET PLACE DR, SUITE 203, CENTERVILLE, UT 84014-1708
(801) 296-5105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4263257
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004438960A
—
KS
Enumeration date
01/29/2009
Last updated
01/29/2009
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