Organization
AVALON CARE CENTER - BRIGHAM CITY, L.L.C.
Active
Other names
Pioneer Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAYE LINCOLN (VP POLICY GOVERNMENT RELATIONS)
(801) 325-0153
Entity
Organization
Contact information
Practice address
815 S 200 W, BRIGHAM CITY, UT 84302-3333
(435) 723-5280
(435) 723-0579
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 325-0153
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2004-NCF-76
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870530623008
—
UT
Enumeration date
08/03/2005
Last updated
07/12/2016
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