Organization
RHA HEALTH SERVICE UT LLC
Active
Other names
Provo Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE L CHRISTENSEN (DIRECTOR OF OPERATIONS)
(801) 763-9299
Entity
Organization
Contact information
Practice address
256 E CENTER ST, PROVO, UT 84606-3107
(801) 373-8771
(801) 373-3262
Mailing address
256 E CENTER ST, PROVO, UT 84606-3107
(801) 373-8771
(801) 373-3262
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2014-NCF-79
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014-NCF-79
—
UT
Enumeration date
10/02/2015
Last updated
10/02/2015
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