Country View Manor INC

NPI #1962543355 in Provo, Utah

Provider Information

NPI Number
1962543355
Entity Type
Organization
Organization Name
Country View Manor INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 9, 2007
Last Updated
Mar 1, 2010

Practice Location

Address
2901 W CENTER ST
City
Provo
State
Utah
ZIP Code
84601-3659
Phone
(801) 373-5079

Authorized Official

Name
BRYAN ERICKSON
Title
CEO
Phone
(801) 763-5040

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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