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East Lake Care Center, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Provo, Utah
NPI 1326093261

East Lake Care Center, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Murray, UT and is specialized in Parenteral & Enteral Nutrition. East Lake Care Center, Llc practices in Provo, UT. The NPI Number for East Lake Care Center, Llc is 1326093261 and holds a License No. 2004-NCF-292 (Utah).

The current practice location address for East Lake Care Center, Llc is 101 N 500 W, Provo, UT and can be reached out via phone at 801-377-9661 and via fax at 801-377-9747.

Location: 101 N 500 W, Provo, UT, 84157-0850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326093261
Provider Name
East Lake Care Center, Llc
Credential
Provider Entity Type
Organization
Address
101 N 500 W, Provo, UT, 84157-0850
Phone Number
801-377-9661
Fax Number
801-377-9747
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870439756011 05 UT
institution
Provider Business Practice Location Address Details
Address
101 N 500 W
City
Provo
State
Utah
Zip
84601-2646
Phone Number
801-377-9661
Fax Number
801-377-9747
person
Provider Business Mailing Address Details
Address
101 N 500 W
City
Provo
State
Utah
Zip
84601-2646
Phone Number
801-377-9661
Fax Number
801-377-9747
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
2007-NCF-292 (Utah)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
2007-NCF-292 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
2004-NCF-292 (Utah)
Definition
Definition to come...
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