NPI 1851722904

Medallion Supported Living-Springville

Organisation Intellectual Disabilities Intermediate Care Facility Springville, UT

Practice location

Address: 469 N Main St, Springville, UT 84663-1036
Phone: (801) 491-2208
Mailing address: PO Box 51377, Provo, UT 84605-1377

Authorised official

Name: Merlin Moyes
Title: Owner
Phone: (801) 375-2710

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Utah →

Registry record

NPI: 1851722904
Entity type: Organization
NPI issued: 27 Nov 2013
Record last updated: 27 Nov 2013

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.