in Ogden - Intermediate Care Facility, Intellectual Disabilities
- NPI 1841241445
is a Intermediate Care Facility, Intellectual Disabilities in Ogden, Utah. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for is 1841241445. The last update date is .
's current location address is 910 Monroe Blvd, Ogden, Utah. You can contact this provider via phone number 8013995876 and fax number 8013922955. The mailing address for is 910 Monroe Blvd, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 910 Monroe Blvd, Ogden, Utah |
| Phone Number | 8013995876 |
| Fax Number | 8013922955 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841241445 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 910 Monroe Blvd |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844046434 |
| Phone Number | 8013995876 |
| Fax Number | 8013922955 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | UTAH #2007-N |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 930947340014 | UT | -- |
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