East Lake Care Center, LLC
NPI #1326093261 in Provo, Utah
Provider Information
- NPI Number
- 1326093261
- Entity Type
- Organization
- Organization Name
- East Lake Care Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 22, 2006
- Last Updated
- Jan 3, 2008
Practice Location
Authorized Official
- Name
- CRAIG R JOHNSON
- Title
- MEMBER
- Phone
- (801) 268-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Skilled Nursing Facility |
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