Organization
BEAVER VALLEY HOSPITAL
Active
Other names
PINE CREEK REHABILITATION AND NURSING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER ERIC MYERS (MANAGER)
(801) 709-4358
Entity
Organization
Contact information
Practice address
876 W 700 S, SALT LAKE CITY, UT 84104-1404
(801) 709-4358
Mailing address
876 W 700 S, SALT LAKE CITY, UT 84104-1404
(801) 709-4358
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
11/13/2015
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