NPI 1427115245

Kostopulos Dream Foundation

Organisation Respite Care Camp Salt Lake City, UT

Practice location

Address: 2500 Emigration Cyn, Salt Lake City, UT 84108-1517
Phone: (801) 582-0700
Fax: (801) 583-5176

Authorised official

Name: Gary Ethington
Title: Executive Director
Phone: (801) 582-0700

Registered specialties

Respite Care Camp Primary

Respite Care Facility Taxonomy 385HR2050X Licence C126 (UT)

Other Respite Care providers in Utah →

Registry record

NPI: 1427115245
Entity type: Organization
NPI issued: 2 Jan 2007
Record last updated: 22 Aug 2020

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.