Country Lane Payson Operating LLC

NPI #1750732723 in Payson, Utah

Provider Information

NPI Number
1750732723
Entity Type
Organization
Organization Name
Country Lane Payson Operating LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 30, 2016
Last Updated
Jun 30, 2016

Practice Location

Address
153 S. 900 E
City
Payson
State
Utah
ZIP Code
84651
Phone
(801) 465-1490

Authorized Official

Name
JARED ANDERSEN
Title
OWNER
Phone
(801) 928-3997

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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