NPI 1598764862

Provo Care Center

Organisation Intellectual Disabilities Intermediate Care Facility Provo, UT

Practice location

Address: 256 E Center St, Provo, UT 84606-3107
Phone: (180) 137-3877
Fax: (180) 137-3326
Mailing address: PO Box 1933 256 East Center Street, Provo, UT 84603-1933

Authorised official

Name: Catherine Lyn Plant
Title: Administrator
Phone: (180) 373-8771

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2004-NCF-79 (UT)

Other Intermediate Care Facility, Intellectual Disabilities providers in Utah →

Registry record

NPI: 1598764862
Entity type: Organization
NPI issued: 19 Jul 2005
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.