Organization · Type 2 NPI

MG Bountiful Subtenant LLC

Assisted Living Facility · Bountiful, UT

NPI number 1710514765 Active

Practice location

1150 S Main St
Bountiful, UT 84010-6351

Call (801) 298-3241 Map

Mailing address

1938 Fairview Ave E Ste 300
Seattle, WA 98102-3650

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None 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.

5 other providers at this address

Other assisted living facility providers in Bountiful

See all in Bountiful →

NPI record

NPI: 1710514765
Entity type: Organization (Type 2)
Issued: Mar 26, 2020
Last updated: May 25, 2021
Status: Active

Other names

<unavail>
Truewood By Merrill, Bountiful · doing business as
Truewood By Merrill, Bountiful · doing business as

Authorized official

Douglas D. Spear
Authorized Representative
(206) 676-5300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1710514765

MG Bountiful Subtenant LLC's National Provider Identifier is 1710514765, issued on Mar 26, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bountiful, UT. The record was last updated on May 25, 2021.