OrganizationActive
Country Life Care Centers
NPI 1639446297 · Skilled Nursing Facility · Riverton, UT
Provider details
- NPI number
- 1639446297
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Buckley, Executive Director(801) 417-9400
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Pediatric Skilled Nursing Facility3140N1450X
Nursing & Custodial Care Facilities
Practice location
13747 S Redwood Rd.
Riverton, UT 84065-5712
Phone: (801) 417-9400
Fax: (801) 417-9399
Approximate (ZIP-level) locationGet directions
Mailing address
13747 S Redwood Rd.
Riverton, UT 84065-5712
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2013-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.