Organization
ACTIVE RE ENTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY P BENTLEY (DIRECTOR)
(435) 637-4950
Entity
Organization
Contact information
Practice address
10 SOUTH FAIRGROUNDS ROAD, PRICE, UT 84501-2540
(435) 637-4950
(435) 637-4952
Mailing address
10 SOUTH FAIRGROUNDS ROAD, PRICE, UT 84501-2540
(435) 637-4950
(435) 637-4952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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