NPI 1043260771

Trinity Mission Health & Rehab of Provo, LP

Organisation Skilled Nursing Facility Provo, UT

Practice location

Address: 1053 W 1020 S, Provo, UT 84601-5656
Phone: (801) 373-2630
Fax: (801) 373-2660

Authorised official

Name: Judy Ullery
Title: President
Phone: (901) 937-7994

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2006-NCF-43 (UT)

Other Skilled Nursing Facility providers in Utah →

Registry record

NPI: 1043260771
Entity type: Organization
NPI issued: 11 May 2006
Record last updated: 10 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.