Our House of Provo
NPI #1629326574 in Provo, Utah
Provider Information
- NPI Number
- 1629326574
- Entity Type
- Organization
- Organization Name
- Our House of Provo
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 27, 2012
- Last Updated
- Aug 27, 2012
Practice Location
Authorized Official
- Name
- MR. GENE SPAULDING
- Title
- OWNER/MANAGER
- Phone
- (801) 655-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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