Organization
UTAH FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LAVEKIHELOTU (EXECUTIVE DIRECTOR)
(801) 921-1626
Entity
Organization
Contact information
Practice address
3575 S 3200 W APT 6C, WEST VALLEY CITY, UT 84119-3571
(801) 921-1626
Mailing address
3575 S 3200 W APT 6C, WEST VALLEY CITY, UT 84119-3571
(801) 921-1626
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
13W82711
UT
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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