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Organization
RHA COMMUNITY SERVICES OF UTAH
Active
Organization
RHA COMMUNITY SERVICES OF UTAH
Active
Other names
Bungalow Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYNN IVY HUGHES (ADMINISTRATOR)
(801) 582-8097
Entity
Organization
Contact information
Practice address
645 S 1300 E, SALT LAKE CITY, UT 84102-3206
(801) 582-1457
(801) 582-3901
Mailing address
645 S 1300 E, SALT LAKE CITY, UT 84102-3206
(801) 582-1457
(801) 582-3901
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2004-NCF-22
UT
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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