NPI 1013347152
Mountain Land Rehabilitation
Practice location
- Address
- 1952 East 7000 South, Salt Lake City, UT 84121
- Phone
- (801) 942-3311
- Fax
- (801) 942-5955
- Mailing address
- PO Box 711185, Salt Lake City, UT 84171-1185
Authorised official
- Name
- Nicole Brunson
- Title
- Recruiter
- Phone
- (801) 942-3311
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1013347152
- Entity type
- Organization
- NPI issued
- 26 Nov 2013
- Record last updated
- 26 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.