Provo Care Center

NPI #1598764862 in Provo, Utah

Provider Information

NPI Number: 1598764862
Entity Type: Organization
Organization Name: Provo Care Center
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jul 19, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 256 E CENTER ST
City: Provo
State: Utah
ZIP Code: 84606-3107
Phone: (180) 137-3877

Authorized Official

Name: MS. CATHERINE LYN PLANT, B.S.
Title: ADMINISTRATOR
Phone: (180) 373-8771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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