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Wide Horizons Residential Care Facility, Llc
Intellectual Disabilities Intermediate Care Facility in Ogden, Utah
NPI 1427290824

Wide Horizons Residential Care Facility, Llc is a Intellectual Disabilities Intermediate Care Facility based in Ogden, UT. Wide Horizons Residential Care Facility, Llc practices in Ogden, UT. The NPI Number for Wide Horizons Residential Care Facility, Llc is 1427290824 and holds a License No. APPLIED FOR (Utah).

The current practice location address for Wide Horizons Residential Care Facility, Llc is 910 Monroe Blvd, Ogden, UT and can be reached out via phone at 801-399-5876 and via fax at 801-392-2955.

Location: 910 Monroe Blvd, Ogden, UT, 84404-6434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427290824
Provider Name
Wide Horizons Residential Care Facility, Llc
Credential
Provider Entity Type
Organization
Address
910 Monroe Blvd, Ogden, UT, 84404-6434
Phone Number
801-399-5876
Fax Number
801-392-2955
Provider Enumeration Date
03/31/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
208889 05 UT
institution
Provider Business Practice Location Address Details
Address
910 Monroe Blvd
City
Ogden
State
Utah
Zip
84404-6434
Phone Number
801-399-5876
Fax Number
801-392-2955
person
Provider Business Mailing Address Details
Address
910 Monroe Blvd
City
Ogden
State
Utah
Zip
84404-6434
Phone Number
801-399-5876
Fax Number
801-392-2955
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
APPLIED FOR (Utah)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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Intellectual Disabilities Intermediate Care Facility
910 Monroe Blvd,
OGDEN, UT
84404-6434
801-399-5876
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