Renaissance Rehabilitation of South Jordan
NPI #1982812459 in South Jordan, Utah
Provider Information
- NPI Number
- 1982812459
- Entity Type
- Organization
- Organization Name
- Renaissance Rehabilitation of South Jordan
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 1371 WEST SOUTH JORDAN PARKWAY
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84095
- Phone
- (801) 920-9566
Authorized Official
- Name
- SHAD CROOKSTON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 920-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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