Organization · Type 2 NPI

Our House of Provo

Assisted Living Facility · Provo, UT

NPI number 1629326574 Active

Practice location

462 S 900 E
Provo, UT 84606-5234

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X2012-ALII-106519 (UT)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1629326574

Our House of Provo's National Provider Identifier is 1629326574, issued on Aug 27, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Provo, UT. The record was last updated on Aug 27, 2012.