Organization
N.M.P. INC
Active
Other names
Millcreek Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DASKALAS (ADMINISTRATOR)
(801) 484-7638
Entity
Organization
Contact information
Practice address
3520 HIGHLAND DR, SALT LAKE CITY, UT 84106-3211
(801) 484-7638
(801) 484-6232
Mailing address
3520 HIGHLAND DR, SALT LAKE CITY, UT 84106-3211
(801) 484-7638
(801) 484-6232
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2004-NCF-92
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001989025
—
NV
Enumeration date
10/13/2005
Last updated
04/24/2008
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