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Medallion Supported Living-springville
Intellectual Disabilities Intermediate Care Facility in Springville, Utah
NPI 1851722904

Medallion Supported Living-springville is a Intellectual Disabilities Intermediate Care Facility based in Provo, UT. Medallion Supported Living-springville practices in Springville, UT. The NPI Number for Medallion Supported Living-springville is 1851722904 and holds a License No. (Utah).

The current practice location address for Medallion Supported Living-springville is 469 N Main St, Springville, UT and can be reached out via phone at 801-491-2208. You can also correspond with Medallion Supported Living-springville through the mailing address at PO BOX 51377, PROVO, UT - 84605-1377 (mailing address contact number: ).

Location: 469 N Main St, Springville, UT, 84605-1377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851722904
Provider Name
Medallion Supported Living-springville
Credential
Provider Entity Type
Organization
Address
469 N Main St, Springville, UT, 84605-1377
Phone Number
801-491-2208
Fax Number
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2013-SHCF-UT000620 05 UT
institution
Provider Business Practice Location Address Details
Address
469 N Main St
City
Springville
State
Utah
Zip
84663-1036
Phone Number
801-491-2208
Fax Number
person
Provider Business Mailing Address Details
Address
469 N Main St
City
Springville
State
Utah
Zip
84663-1036
Phone Number
801-491-2208
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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