Whalio Doctors

NPI 1457318917

Mesa Vista INC

Organisation Intellectual Disabilities Intermediate Care Facility Orem, UT

Practice location

Address
394 W 400 N, Orem, UT 84057-4663
Phone
(801) 225-9292
Fax
(801) 221-7617

Authorised official

Name
Karen a Root
Title
Owner/Administrator
Phone
(801) 225-9292

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2006-NCF-551 (UT)

Registry record

NPI
1457318917
Entity type
Organization
NPI issued
27 Apr 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.