Keystone Residential Care, LLC
NPI #1770188195 in Taylorsville, Utah
Provider Information
- NPI Number
- 1770188195
- Entity Type
- Organization
- Organization Name
- Keystone Residential Care, LLC
- Primary Specialty
- Foster Care Agency
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 6062 S HIDDEN PL
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84123-7676
- Phone
- (801) 949-8509
Authorized Official
- Name
- MOANA OLIVIA HANSEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 949-8509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Foster Care Agency |
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