OrganizationActive
Kostopulos Dream Foundation
NPI 1427115245 · Respite Care Camp · Salt Lake City, UT
Provider details
- NPI number
- 1427115245
- Entity type
- Organization
- Primary specialty
- Respite Care CampRespite Care Facility
- Organization subpart
- No
- Authorized official
- Gary Ethington, Executive Director(801) 582-0700
- License
- C126 (UT)
Specialties & taxonomies
Respite Care Facility
Practice location
2500 Emigration Cyn
Salt Lake City, UT 84108-1517
Phone: (801) 582-0700
Fax: (801) 583-5176
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Emigration Cyn
Salt Lake City, UT 84108-1517
Other names (DBA / former)
- Other name
- Camp Kostopulos
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.