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LLHC ST. GEORGE LLC

Ambulatory Health Care Facilities Clinic/Center Adult Day Care

Provider NPI: 1801235502

Organization Information:
Organization Name:  LLHC ST. GEORGE LLC
Organization is not Subpart
Authorized Official:  RONALD DAVID TILLER  MEDICAL DIRECTOR  435-574-9777

Practice Location:
120 W 1470 S  ST GEORGE, UT 84770-6798 US
Tel: 435-574-9777  Fax: --

Business Mailing Address:
120 W 1470 S  ST GEORGE, UT 84770-6798 US
Tel: 435-574-9777  Fax: --

NPI Information:
NPI: 1801235502
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
Adult Day Care
UT7300098-1205

Other Provider Identifiers:

IssuerNumberStateType
NPI1497716344UT01
NPI1881630572UT01
LICENSE7300098-1205UT01
LICENSE7865804-1206UT01



American Medical Association 2012 taxonomy code information

Code: 261QA0600X

Type:

Classification:



Definition:



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