NPI 1023215373
South Valley Healthcare, INC.
Practice location
- Address
- 12702 Fort St, Draper, UT 84020-9755
- Phone
- (801) 571-2704
- Fax
- (801) 571-8921
- Mailing address
- 27101 Puerta Real Suite 450, Mission Viejo, CA 92691-8518
Authorised official
- Name
- Soon E. Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023215373
- Entity type
- Organization
- NPI issued
- 29 Jun 2007
- Record last updated
- 3 Jun 2016
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.