# RHA HEALTH SERVICE UT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provo Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053781054
- **Authorized official:** MRS. CHRISTINE L CHRISTENSEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (801) 763-9299

## Contact information

- **Practice address:** 256 E CENTER ST, PROVO, UT 84606-3107
- **Practice address phone:** (801) 373-8771
- **Practice address fax:** (801) 373-3262
- **Mailing address:** 256 E CENTER ST, PROVO, UT 84606-3107
- **Mailing address phone:** (801) 373-8771
- **Mailing address fax:** (801) 373-3262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2014-NCF-79 | UT | Yes |

## Other

- **Enumeration date:** 10/02/2015
- **Last updated:** 10/02/2015