West Jordan Care Center
NPI #1871570374 in West Jordan, Utah
Provider Information
- NPI Number
- 1871570374
- Entity Type
- Organization
- Organization Name
- West Jordan Care Center
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3350 W 7800 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-4506
- Phone
- (801) 282-0686
Authorized Official
- Name
- MR. GARY M. KELSO
- Title
- PRESIDENT
- Phone
- (801) 389-1523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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