Organization
NEIGHBORHOOD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB S BRACE (EXECUTIVE DIRECTOR)
(801) 363-4589
Entity
Organization
Contact information
Practice address
423 SO 1100 WEST, SALT LAKE CITY, UT 84104
(801) 363-4593
(801) 363-4591
Mailing address
1050 WEST 500 SO, SALT LAKE CITY, UT 84104
(801) 363-4589
(801) 363-4591
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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