Organization
RHA COMMUNITY SERVICES OF UTAH
Active
Other names
North Side Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ROBERT CONOVER (ADMINISTRATOR)
(801) 292-6797
Entity
Organization
Contact information
Practice address
340 N 100 W, BOUNTIFUL, UT 84010-6054
(801) 292-6797
(801) 295-3660
Mailing address
PO BOX 1233, BOUNTIFUL, UT 84011-1233
(801) 292-6797
(801) 295-3660
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2005-SHCF-344
UT
Other
Enumeration date
07/15/2005
Last updated
08/22/2020
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