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Organization
IRON COUNTY CARE CENTER LLC
Active
Organization
IRON COUNTY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN LAURITZEN (MANAGER)
(435) 477-3615
Entity
Organization
Contact information
Practice address
69 EAST 100 SOUTH, PAROWAN, UT 84761-0397
(435) 477-3615
Mailing address
PO BOX 397, PAROWAN, UT 84761-0397
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
315P00000X
UT
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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