Fairview Care Center - East, Inc.

NPI 1174520472 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1174520472
Enumeration Date 06/30/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN RAY JOHN
Position CEO
Phone (801) 355-6891
Fax (801) 521-5248
Practice Location
455 S 900 E
SALT LAKE CITY UT, 84102-2933, US
Phone (801) 355-6891
Fax (801) 521-5248
Business Location
455 S 900 E
SALT LAKE CITY UT, 84102-2933, US
Phone (801) 355-6891
Fax (801) 521-5248
Toxanomy
Taxonomy Code 313M00000X
License State Utah
License Number 2005-NCF-107
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According to our database, Fairview Care Center - East, Inc. NPI is 1174520472, taxonomy code is 313M00000X and license number is 2005-NCF-107, license state is located at Utah. Fairview Care Center - East, Inc. physically located at 455 S 900 E, Salt Lake City UT, 84102-2933. NPI Number 1033115704 has the healthcare provider type.

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1174520472 NPI number is provided on an as is basis without warranty of any kind. 1174520472 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Care Center - East, Inc. are for informational purposes only.