Organization
BEAR RIVER VALLEY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PACKER (ADMINISTRATOR)
(435) 257-7441
Entity
Organization
Contact information
Practice address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Mailing address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
2007NCF24
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854058564
—
UT
Enumeration date
05/21/2007
Last updated
06/12/2008
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