Organization
NEIGHBORHOOD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NUTTALL (EXECUTIVE DIRECTOR)
(801) 363-4589
Entity
Organization
Contact information
Practice address
423 SOUTH 1100 WEST, SALT LAKE CITY, UT 84104
(801) 363-4593
(801) 363-4591
Mailing address
1050 W 500 S, SALT LAKE CITY, UT 84104-1319
(801) 363-4589
(801) 363-4591
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
3587864002
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320
—
UT
Enumeration date
07/15/2016
Last updated
07/15/2016
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