Medallion Supported Living-Springville
NPI #1851722904 in Springville, Utah
Provider Information
- NPI Number
- 1851722904
- Entity Type
- Organization
- Organization Name
- Medallion Supported Living-Springville
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 27, 2013
- Last Updated
- Nov 27, 2013
Practice Location
- Address
- 469 N MAIN ST
- City
- Springville
- State
- Utah
- ZIP Code
- 84663-1036
- Phone
- (801) 491-2208
Authorized Official
- Name
- MR. MERLIN MOYES
- Title
- OWNER
- Phone
- (801) 375-2710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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