| Familylove211 | |
|
393 E Riverside Dr Ste 3a St George UT 84790-7127 | |
| (435) 068-8212 | |
| Not Available |
| Full Name | Familylove211 |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 393 E Riverside Dr Ste 3a, St George, Utah |
| Authorized Official Name and Position | Nancy Jane Jenkins (CEO) |
| Authorized Official Contact | 8019491323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familylove211 393 East Riverside Dr Bldg 3a St George UT 84790 Ph: (435) 068-8212 | Familylove211 393 E Riverside Dr Ste 3a St George UT 84790-7127 Ph: (435) 068-8212 |
| NPI Number | 1134542582 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134542582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3588446004 (Utah) | Primary |
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