Providential Bba Operating LP
NPI #1154842250 in Bountiful, Utah
Provider Information
- NPI Number
- 1154842250
- Entity Type
- Organization
- Organization Name
- Providential Bba Operating LP
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MICHELLE BROWN
- Title
- CFO
- Phone
- (801) 397-8145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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