NPI 1871570374

West Jordan Care Center

Organisation Intellectual Disabilities Intermediate Care Facility West Jordan, UT

Practice location

Address: 3350 W 7800 S, West Jordan, UT 84088-4506
Phone: (801) 282-0686
Fax: (801) 282-9767
Mailing address: 5007 S Mission Dr, Saint Joseph, MO 64505-9404

Authorised official

Name: Gary M. Kelso
Title: President
Phone: (801) 389-1523

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2004-NCF-470 (UT)

Other Intermediate Care Facility, Intellectual Disabilities providers in Utah →

Registry record

NPI: 1871570374
Entity type: Organization
NPI issued: 27 Dec 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.