NPI 1962543355
Country View Manor INC
Practice location
- Address
- 2901 W Center St, Provo, UT 84601-3659
- Phone
- (801) 373-5079
- Fax
- (801) 374-2855
Authorised official
- Name
- Bryan Erickson
- Title
- Ceo
- Phone
- (801) 763-5040
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1962543355
- Entity type
- Organization
- NPI issued
- 9 Feb 2007
- Record last updated
- 1 Mar 2010
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.