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Contact Information

RENAISSANCE REHABILITATION OF SOUTH JORDAN
1371 WEST SOUTH JORDAN PARKWAY
SOUTH JORDAN, UT84095
 Phone: 801-920-9566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for RENAISSANCE REHABILITATION OF SOUTH JORDAN

NPI Number 1982812459
LBN Legal business name RENAISSANCE REHABILITATION OF SOUTH JORDAN
Authorized official SHAD CROOKSTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 07/26/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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