Organization
COUNTRY VIEW MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ERICKSON (CEO)
(801) 763-5040
Entity
Organization
Contact information
Practice address
2901 W CENTER ST, PROVO, UT 84601-3659
(801) 373-5079
(801) 374-2855
Mailing address
2901 W CENTER ST, PROVO, UT 84601-3659
(801) 373-5079
(801) 374-2855
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
03/01/2010
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