NPI 1225030810
Friendship Villa Care Center INC
Practice location
- Address
- 3094 S State St, Salt Lake City, UT 84115-3834
- Phone
- (801) 487-7887
- Fax
- (801) 466-3634
- Mailing address
- PO Box 65007, Salt Lake City, UT 84165-0007
Authorised official
- Name
- Walter Matjasich
- Title
- President
- Phone
- (801) 466-0966
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1225030810
- Entity type
- Organization
- NPI issued
- 12 Aug 2005
- Record last updated
- 20 Nov 2008
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.