Chp Layton Ut Tenant Corp

NPI #1780088385 in Layton, Utah

Provider Information

NPI Number
1780088385
Entity Type
Organization
Organization Name
Chp Layton Ut Tenant Corp
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 10, 2014
Last Updated
Aug 12, 2015

Practice Location

Address
1203 N FAIRFIELD RD
City
Layton
State
Utah
ZIP Code
84041-8321
Phone
(801) 807-0111

Authorized Official

Name
KEVIN RAY MADDRON
Title
SENIOR VICE PRESIDENT
Phone
(407) 540-7519

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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