Kostopulos Dream Foundation, NPI 1427115245
Respite Care Camp in Salt Lake City, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1427115245
NPI Entity Type Organization
Provider Name Kostopulos Dream Foundation
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2500 Emigration Cyn, Salt Lake City, UT, US
Provider Mailing Address 2500 Emigration Cyn, Salt Lake City, UT, US, 841081517
Is Sole Proprietor? No
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Organization Official

Official Name Gary Ethington
Official Position EXECUTIVE DIRECTOR
Phone 801-582-0700

Primary Taxonomy

Taxonomy Code

385HR2050X

Taxonomy Name Respite Care Camp
Classification

Respite Care

Group

Respite Care Facility

License No. C126
License State UT
Description A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

Other Organization Name

Camp Kostopulos
Other Name

Business Address

Kostopulos Dream Foundation
2500 Emigration Cyn

Salt Lake City, UT, US

Phone: 801-582-0700
Fax: 801-583-5176

Mailing Address

Kostopulos Dream Foundation
2500 Emigration Cyn
Salt Lake City, UT, US
ZIP 841081517
Phone: 801-582-0700
Fax: 801-583-5176

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