Organization
HEARTHSTONE MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN C MATHEWS MPT (ADMINISTRATOR)
(801) 798-1500
Entity
Organization
Contact information
Practice address
1424 S 1700 E, SPANISH FORK, UT 84660-9007
(801) 798-1500
(801) 798-7900
Mailing address
1424 S 1700 E, SPANISH FORK, UT 84660-9007
(801) 798-1500
(801) 798-7900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2008-ALII-15797
UT
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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