| MOUNTAIN LAND REHAB AGENCY | Phone: (801)942-3311
|
| OPT-SP - MEDICARE | Licensed Date: |
| 1952 EAST 7000 SOUTH, SUITE 100 | Certified Date: 09-DEC-93 |
| SALT LAKE CITY, UT 84121 | Provider #: 466502 |
| County: SALT LAKE | |
| Total Licensed Beds: |
0 |
| Total Medicare Only Beds: |
0 |
| Total Medicaid Only Beds: |
0 |
| Total Medicare/Medicaid Beds: |
0 |
| Total Certified Beds |
0 |