Healthcare Provider Details

I. General information

NPI: 1699776500
Provider Name (Legal Business Name): MURRAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 E VINE ST
MURRAY UT
84107-6515
US

IV. Provider business mailing address

835 E VINE ST
MURRAY UT
84107-6515
US

V. Phone/Fax

Practice location:
  • Phone: 801-266-3852
  • Fax: 801-264-1912
Mailing address:
  • Phone: 801-266-3852
  • Fax: 801-264-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0002218
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RICH DANTELEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 801-266-3852