EAST LAKE CARE CENTER, LLC
Suppliers at 500, Provo, UT

License number
Utah 2004-NCF-292
Category
Nursing
Type
Skilled Nursing Facility
License number
Utah 2007-NCF-292
Category
Suppliers
Type
Nursing Facility Supplies
License number
Utah 2007-NCF-292
Category
Suppliers
Type
Parenteral & Enteral Nutrition
Owner
Name: CRAIG R JOHNSON
Title: MEMBER
Phone: (801) 268-1122
Address
Address 2
101 N 500 W, Provo, UT 84601
PO Box 57850, Salt Lake City, UT 84157
National Provider ID: 1326093261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAST LAKE CARE CENTER, LLC at bizstanding.com

East Lake Care Center LLC

1001 N 500 W, Provo, UT 84604

Doing business as:
Rock Canyon Rehab and Nursing
Company Contact:
Craig Johnson (Company Contact)
Categories:
Nursing Homes

EAST LAKE CARE CENTER, LLC

404 E 5600 S, Salt Lake City, UT 84107

Status:
Inactive
Registration:
Nov 29, 1993
State ID:
2006213-0160
Business type:
LLC - Domestic
Agent:
Craig Johnson,404 E 5600 S, Salt Lake City, UT 84107 (Physical)

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