Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Provo Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
(801) 377-9747
Mailing address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
(801) 377-9747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
UT
Other
Enumeration date
08/06/2016
Last updated
03/02/2021
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