Organization
SUGAR HOUSE CARE AND REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SCOTT THOMAS (SYSTEMS ADMINISTRATOR)
(801) 296-5106
Entity
Organization
Contact information
Practice address
950 E 3300 S, SALT LAKE CITY, UT 84106-2141
(801) 486-5121
(801) 486-5146
Mailing address
950 E 3300 S, SALT LAKE CITY, UT 84106-2141
(801) 486-5121
(801) 486-5146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2008-NCF-114
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001989490
—
NV
05
—
870636201004
—
UT
Enumeration date
02/10/2009
Last updated
02/10/2009
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