Organization · Type 2 NPI

Picnic Creek LLC

Assisted Living Facility · Syracuse, UT

NPI number 1144875766 Active

Practice location

1407 S 2000 W
Syracuse, UT 84075-6935

Fax (801) 776-9464

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed
Respite Care 385H00000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1144875766

Picnic Creek LLC's National Provider Identifier is 1144875766, issued on Aug 9, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Syracuse, UT. The record was last updated on Aug 9, 2019.