Organization
HOBBLECREEK HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL S. ROSSER FNP (CEO)
(801) 400-1103
Entity
Organization
Contact information
Practice address
1761 COBBLESTONE RD, SPRINGVILLE, UT 84663-3236
(801) 400-1103
Mailing address
1761 COBBLESTONE RD, SPRINGVILLE, UT 84663-3236
(801) 400-1103
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
320175-4405
UT
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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