Organization
MISSION HEALTH SERVICES
Active
Other names
Alpine Valley Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. KELSO (PRESIDENT)
(801) 389-1523
Entity
Organization
Contact information
Practice address
25 ALPINE AVE, PLEASANT GROVE, UT 84062-3511
(801) 785-3568
(801) 785-5908
Mailing address
5007 S MISSION DR, SAINT JOSEPH, MO 64505-9404
(816) 232-9573
(816) 232-9596
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005-NCF-1
UT
Other
Enumeration date
12/27/2005
Last updated
03/02/2015
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