| NPI | 1063882710 |
|---|---|
| Doing Business As | BUNGALOW CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L CHRISTENSEN Director Of Operations 801-763-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 2015-NCF-22) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |