Trinity Mission Health & Rehab of Provo, LP

NPI #1043260771 in Provo, Utah

Provider Information

NPI Number
1043260771
Entity Type
Organization
Organization Name
Trinity Mission Health & Rehab of Provo, LP
Subpart
Yes (part of a larger organization)
Parent Organization
COVENANT DOVE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 11, 2006
Last Updated
Apr 10, 2008

Practice Location

Address
1053 W 1020 S
City
Provo
State
Utah
ZIP Code
84601-5656
Phone
(801) 373-2630

Authorized Official

Name
MRS. JUDY ULLERY
Title
PRESIDENT
Phone
(901) 937-7994

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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