Organization
JOHANNA CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER MATJASICH (ADMINISTRATOR)
(801) 487-2248
Entity
Organization
Contact information
Practice address
433 E 2700 S, S SALT LAKE, UT 84115-3325
(801) 487-2248
(801) 746-8554
Mailing address
433 E 2700 S, S SALT LAKE, UT 84115-3325
(801) 487-2248
(801) 746-8554
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2006-NCF-58
UT
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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