Organization · Type 2 NPI
Provo Care Center
Intellectual Disabilities Intermediate Care Facility · Provo, UT
NPI number
1598764862
Active
Practice location
256 E Center St
Provo, UT 84606-3107
Fax (180) 137-3326
Mailing address
PO Box 1933, 256 East Center Street
Provo, UT 84603-1933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 2004-NCF-79 (UT) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Provo
About NPI 1598764862
Provo Care Center's National Provider Identifier is 1598764862, issued on Jul 19, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Provo, UT. The record was last updated on Aug 22, 2020.