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County of Duchesne — NPI 1629189634, Roosevelt, UT | NPI Central

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NPI 1629189634

OrganizationActive

County of Duchesne

NPI 1629189634 · Skilled Nursing Facility · Roosevelt, UT

Provider details

NPI number: 1629189634
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Brent Hales, Cfo(435) 722-6164
License: 2005-NCF-50755 (UT)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 2014-NCF-50755 (UT)
Nursing & Custodial Care Facilities
Skilled Nursing Facility314000000XLicense 2005-NCF-50755 (UT)
Nursing & Custodial Care Facilities

Practice location

265 N 300 W

Roosevelt, UT 84066

Phone: (435) 725-2051

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

265 N 300 W

Roosevelt, UT 84066

Other names (DBA / former)

Former legal business name: Uintah Basin Rehabilitation and Senior Villa

Registry dates

Enumerated: 2006-08-31
Last updated: 2017-03-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.