Organization
FOUR CORNERS REGIONAL CARE CENTER, INC.
Active
Parent organization
HORIZON WEST HEALTHCARE OF UTAH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HORIZON WEST HEALTHCARE OF UTAH, INC.
Authorized official
MR. LARRY E BEAR (CHIEF EXECUTIVE OFFICER)
(916) 624-6230
Entity
Organization
Contact information
Practice address
818 N 400 W, BLANDING, UT 84511-3417
(435) 678-2251
(435) 678-2326
Mailing address
4020 SIERRA COLLEGE BLVD, SUITE #190, ROCKLIN, CA 95677-3906
(916) 624-6230
(916) 624-6249
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2005-NCF-109
UT
Other
Enumeration date
07/19/2005
Last updated
06/10/2008
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