Hidden Hollow Care Center
Intermediate Care Facility, Intellectual Disabilities in Orem, UT. Organization (NPI-2).
NPI number1477552099
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477552099
- Entity type
- Organization (NPI-2)
- Legal business name
- Hidden Hollow Care Center
- Organization subpart
- No
- Enumeration date
- Jul 15, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | NCF-366 | UT | Yes |
Other names
- Rha Communityservicesofutah (Doing Business As)
Practice location
261 W 2000 SOrem, UT 84058-7417
Phone 801-225-2145 · Fax 801-225-4249
Mailing address
261 W 2000 SOrem, UT 84058-7417
Phone 801-225-2145 · Fax 801-225-4249
Authorized official
Laetitia N Odunze
Administrator
8012252145
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