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Organization
ZION INTERMEDIATE CARE INC
Active
Organization
ZION INTERMEDIATE CARE INC
Active
Other names
Zion IC
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI BUCK ADMINISTRATOR (PRESIDENT)
(801) 473-7042
Entity
Organization
Contact information
Practice address
4028 S 4800 W, WEST VALLEY, UT 84120-4537
(801) 968-8122
Mailing address
119 S PACIFIC DR STE 109, AMERICAN FORK, UT 84003-2399
(801) 763-9299
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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