Organization
COUNTRY MEADOW SNF LC
Active
Other names
Mountain View Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE BODEN HFA (BUSINESS MANAGER)
(801) 479-8480
Entity
Organization
Contact information
Practice address
5865 S. WASATCH DRIVE, OGDEN, UT 84403-5209
(801) 479-8480
(801) 479-5253
Mailing address
5865 S. WASATCH DRIVE, OGDEN, UT 84403-5209
(801) 479-8480
(801) 479-5253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-63181
UT
Other
Enumeration date
09/22/2006
Last updated
02/26/2010
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