Organization · Type 2 NPI
East Lake Care Center, LLC
Skilled Nursing Facility · Provo, UT
Practice location
101 N 500 W
Provo, UT 84601-2646
Fax (801) 377-9747
Mailing address
PO Box 57850
Murray, UT 84157-0850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2004-NCF-292 (UT) |
| Nursing Facility Supplies (DME) | 332BN1400X | 2007-NCF-292 (UT) |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 2007-NCF-292 (UT) |
Skilled Nursing Facility: (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 r…
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About NPI 1326093261
East Lake Care Center, LLC's National Provider Identifier is 1326093261, issued on May 22, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Provo, UT. The record was last updated on Jan 3, 2008.