Organization
BEAVER VALLEY HOSPITAL
Active
Other names
LITTLE COTTONWOOD REHABILITATION AND NURSING
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ERIC MYERS (OWNER)
(801) 709-4358
Entity
Organization
Contact information
Practice address
3094 S STATE ST, SALT LAKE CITY, UT 84115-3834
(801) 485-9007
Mailing address
3094 S STATE ST, SALT LAKE CITY, UT 84115-3834
(801) 485-9007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
11/13/2015
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