Organization
BELLE FOURCHE 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
2200 13TH AVE, BELLE FOURCHE, SD 57717-2215
(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
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
10/23/2024
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