Organization
NORTH PARKWAY HEALTHCARE, INC.
Active
Other names
Wide Horizons Intermediate Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
910 MONROE BLVD, OGDEN, UT 84404-6434
(801) 399-5876
(801) 392-2955
Mailing address
910 MONROE BLVD, OGDEN, UT 84404-6434
(801) 399-5876
(801) 392-2955
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89630
FACILITY LICENSE
UT
Enumeration date
04/03/2017
Last updated
05/01/2017
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