Organization
INFINIA AT ALTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ROBERTSON (OWNER)
(801) 295-8000
Entity
Organization
Contact information
Practice address
4035 S 500 E, SALT LAKE CITY, UT 84107-1866
(801) 262-9181
(801) 262-1608
Mailing address
4035 S 500 E, SALT LAKE CITY, UT 84107-1866
(801) 262-9181
(801) 262-1608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1999NCF352
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870615300001
—
UT
Enumeration date
06/28/2005
Last updated
08/22/2020
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