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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


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Adult Day Care

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QA0600X





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