Organization
RHA COMMUNITY SERVICES OF UTAH
Active
Other names
East Side Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYNN IVY HUGHES (ADMINISTRATOR)
(801) 582-8097
Entity
Organization
Contact information
Practice address
642 UNIVERSITY ST, SALT LAKE CITY, UT 84102-3213
(801) 582-2195
(801) 582-3901
Mailing address
642 UNIVERSITY ST, SALT LAKE CITY, UT 84102-3213
(801) 582-2195
(801) 582-3901
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2004-SHCF-158
UT
Other
Enumeration date
07/29/2005
Last updated
08/22/2020
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