Organization
HILLCREST CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HEUGLY RN (ADMINISTRATOR)
(801) 566-4191
Entity
Organization
Contact information
Practice address
348 E 8000 S, SANDY, UT 84070-0107
(801) 566-4191
(801) 566-1548
Mailing address
PO BOX 470, SANDY, UT 84091-0470
(801) 566-4191
(801) 566-1548
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2004-NCF-478
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46G005
—
UT
Enumeration date
07/11/2005
Last updated
07/30/2008
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