Brc Outpatient LLC
NPI #1194260810 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1194260810
- Entity Type
- Organization
- Organization Name
- Brc Outpatient LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Jan 4, 2017
- Last Updated
- Jun 26, 2020
Practice Location
- Address
- 4905 S 900 E
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-5703
- Phone
- (801) 869-1095
Authorized Official
- Name
- JONATHAN SAUL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 849-0453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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