Organization
TRINITY MISSION HEALTH & REHAB OF ROY, LP
Active
Parent organization
COVENANT DOVE, LLC
Other names
Heritage Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
MRS. JUDY ULLERY (PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
2700 W 5600 S, ROY, UT 84067-1372
(801) 825-9731
(801) 776-2018
Mailing address
2700 W 5600 S, ROY, UT 84067-1372
(801) 825-9731
(801) 776-2018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-468
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930947176002
—
UT
Enumeration date
05/11/2006
Last updated
06/14/2010
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