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Organization

WIDE HORIZONS RESIDENTIAL CARE FACILITY, LLC

Active
Parent organization
ORIANNA HEALTH SYSTEMS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORIANNA HEALTH SYSTEMS, LLC
Authorized official
CRAIG E ROBINSON (VICE PRESIDENT)
(901) 937-7994
Entity
Organization

Contact information

Practice address
910 MONROE BLVD, OGDEN, UT 84404-6434
(801) 399-5876
(801) 392-2955
Mailing address
910 MONROE BLVD, OGDEN, UT 84404-6434
(801) 399-5876
(801) 392-2955

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
APPLIED FOR
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208889
UT
Enumeration date
03/31/2009
Last updated
07/11/2016
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