Organization
HIDDEN HOLLOW CARE CENTER
Active
Other names
RHA COMMUNITYSERVICESOFUTAH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAETITIA N ODUNZE (ADMINISTRATOR)
(801) 225-2145
Entity
Organization
Contact information
Practice address
261 W 2000 S, OREM, UT 84058-7417
(801) 225-2145
(801) 225-4249
Mailing address
261 W 2000 S, OREM, UT 84058-7417
(801) 225-2145
(801) 225-4249
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NCF-366
UT
Other
Enumeration date
07/15/2005
Last updated
08/22/2020
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