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Contact Information

SECOND CHANCES IN SOUTHERN UTAH, LLC
591 NORTH STATE
LAVERKIN, UT84745-8040
 Phone: 435-669-6669
 Fax: 435-571-0374
 Website:
Indicates primary specialty

NPI Profile & details for SECOND CHANCES IN SOUTHERN UTAH, LLC

NPI # 1023414182
LBN Legal business name SECOND CHANCES IN SOUTHERN UTAH, LLC
Authorized official ADAM AHQUIN - (EXECUTIVE DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2014
Last updated 08/19/2020 - About 6 years ago
Identifiers
UT License # 8035
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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