Organization
MISSION HEALTH SERVICES INC
Active
Other names
Mission at Community Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KELSO (PRESIDENT)
(801) 389-1523
Entity
Organization
Contact information
Practice address
10 WEST 400 SOUTH, CENTERFIELD, UT 84622-0260
(435) 528-2816
Mailing address
2825 VIRGINIA WAY, OGDEN, UT 84403-0452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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