Healthcare Provider Details

I. General information

NPI: 1952179954
Provider Name (Legal Business Name): HIGHLAND MANOR OF FALLON REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N SHERMAN ST
FALLON NV
89406-3488
US

IV. Provider business mailing address

947 S 500 E STE 105
AMERICAN FORK UT
84003-3392
US

V. Phone/Fax

Practice location:
  • Phone: 775-423-7800
  • Fax:
Mailing address:
  • Phone: 385-492-0194
  • Fax: 801-492-8036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WALTER ERIC MYERS
Title or Position: MEMBER
Credential:
Phone: 801-709-4358