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Organization
MISSION HEALTH SERVICES
Active
Organization
MISSION HEALTH SERVICES
Active
Other names
Mission at Castle Rock Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KELSO (PRESIDENT)
(801) 389-1523
Entity
Organization
Contact information
Practice address
1445 UINTA DR, GREEN RIVER, WY 82935-5004
(801) 389-1523
Mailing address
2825 VIRGINIA WAY, OGDEN, UT 84403-0452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/22/2014
Last updated
09/12/2014
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