Organization
THATCHER BROOK REHABILITATION AND CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVEN B PETTIT (ADMINISTRATOR/OWNER)
(801) 614-5700
Entity
Organization
Contact information
Practice address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 614-5700
(801) 614-5750
Mailing address
PO BOX 160528, CLEARFIELD, UT 84016
(801) 614-5700
(801) 614-5750
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
02/10/2015
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