Provider First Line Business Practice Location Address:
WOODLAND PARK CARE CENTER
Provider Second Line Business Practice Location Address:
3855 S 700 E
Provider Business Practice Location Address City Name:
MURREY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-506-1185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2006