NPI 1982647103
Providential Bba Operating LP
Practice location
- Address
- 485 E 500 S, Bountiful, UT 84010-3801
- Phone
- (801) 295-2361
- Fax
- (801) 295-1398
- Mailing address
- 401 South 400 East, Bountiful, UT 84010
Authorised official
- Name
- David A. Bland
- Title
- Ceo
- Phone
- (801) 397-8101
Registered specialties (2)
Long Term Care Hospital
Primary
Chronic Disease Hospital
Registry record
- NPI
- 1982647103
- Entity type
- Organization
- NPI issued
- 14 Jun 2006
- Record last updated
- 22 Jun 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.