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Provo Care Center
Intellectual Disabilities Intermediate Care Facility in Provo, Utah
NPI 1598764862

Provo Care Center is a Intellectual Disabilities Intermediate Care Facility based in Provo, UT. Provo Care Center practices in Provo, UT. The NPI Number for Provo Care Center is 1598764862 and holds a License No. 2004-NCF-79 (Utah).

The current practice location address for Provo Care Center is 256 E Center St, Provo, UT and can be reached out via phone at 180-137-3877 and via fax at 180-137-3326.

Location: 256 E Center St, Provo, UT, 84603-1933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598764862
Provider Name
Provo Care Center
Credential
Provider Entity Type
Organization
Address
256 E Center St, Provo, UT, 84603-1933
Phone Number
180-137-3877
Fax Number
180-137-3326
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
256 E Center St
City
Provo
State
Utah
Zip
84606-3107
Phone Number
180-137-3877
Fax Number
180-137-3326
person
Provider Business Mailing Address Details
Address
256 E Center St
City
Provo
State
Utah
Zip
84606-3107
Phone Number
180-137-3877
Fax Number
180-137-3326
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2004-NCF-79 (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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