Organization
BOUNTIFUL MEDICAL INVESTORS, LLC
Active
Other names
Life Care Center of Bountiful
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
460 W 2600 S, BOUNTIFUL, UT 84010-7716
(801) 295-3135
(801) 295-2143
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005NC F62
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62163541005
—
UT
Enumeration date
05/20/2006
Last updated
02/12/2008
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