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Organization

DESERET HEALTH AND REHAB AT ROCK SPRINGS LLC

Active
Parent organization
DNR TWO LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DNR TWO LLC
Authorized official
GARRETT ROBERTSON (CEO)
(801) 296-5105
Entity
Organization

Contact information

Practice address
1325 SAGE ST, ROCK SPRINGS, WY 82901-7478
(307) 362-3780
Mailing address
1325 SAGE ST, ROCK SPRINGS, WY 82901-7478
(307) 362-3780

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106152600
WY
Enumeration date
11/26/2012
Last updated
06/12/2013
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