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Organization
TRI-COUNTY INDEPENDENT LIVING CENTER
Active
Organization
TRI-COUNTY INDEPENDENT LIVING CENTER
Active
Other names
Tri-County ILC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE CALL BRENCHLEY (DEPUTY DIRECTOR)
(801) 612-3215
Entity
Organization
Contact information
Practice address
2726 WASHINGTON BLVD, OGDEN, UT 84401-3677
(801) 612-3215
(801) 612-3732
Mailing address
2726 WASHINGTON BLVD, OGDEN, UT 84401-3677
(801) 612-3215
(801) 612-3732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
001
UT
251B00000X
Case Management Agency
001
UT
Other
Enumeration date
07/17/2007
Last updated
07/21/2022
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