Provider Demographics
NPI:1023466349
Name:RKD MANAGEMENT
Entity type:Organization
Organization Name:RKD MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/RN
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DENISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-706-9017
Mailing Address - Street 1:2826 W SHADY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5698
Mailing Address - Country:US
Mailing Address - Phone:801-706-9017
Mailing Address - Fax:
Practice Address - Street 1:151 EAST 300 SOUTH
Practice Address - Street 2:
Practice Address - City:LOA
Practice Address - State:UT
Practice Address - Zip Code:84747
Practice Address - Country:US
Practice Address - Phone:801-836-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility