NPI 1639446297
Country Life Care Centers
Practice location
- Address
- 13747 S Redwood Rd., Riverton, UT 84065-5712
- Phone
- (801) 417-9400
- Fax
- (801) 417-9399
Authorised official
- Name
- Robert F Buckley
- Title
- Executive Director
- Phone
- (801) 417-9400
Registered specialties (2)
Skilled Nursing Facility
Primary
Pediatric Skilled Nursing Facility
Registry record
- NPI
- 1639446297
- Entity type
- Organization
- NPI issued
- 28 Nov 2011
- Record last updated
- 27 Sep 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.