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Organization

CLANCY NURSING AND REHAB CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN MONROE (GENERAL COUNSEL)
(385) 240-6408
Entity
Organization

Contact information

Practice address
474 HIGHWAY 282, CLANCY, MT 59634-9519
(801) 601-1450
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
(801) 601-1450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261Q00000X
Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
07/28/2020
Last updated
10/23/2024
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