Organization
ZION INTERMEDIATE CARE INC
Active
Other names
Zion IC
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI BUCK ADMINISTRATOR (PRESIDENT)
(801) 473-7042
Entity
Organization
Contact information
Practice address
4028 S 4800 W, WEST VALLEY, UT 84120-4537
(801) 968-8122
Mailing address
119 S PACIFIC DR STE 109, AMERICAN FORK, UT 84003-2399
(801) 763-9299
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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