Vista Care Utah, LLC

NPI #1740039254 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1740039254
Entity Type: Organization
Organization Name: Vista Care Utah, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 708 ERIE AVE STE 201
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-4060
Phone: (920) 694-1102

Authorized Official

Name: MR. TIMOTHY ALAN FREY
Title: OWNER
Phone: (920) 694-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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