Organization · Type 2 NPI
Country Lane Payson Operating LLC
Assisted Living Facility · Payson, UT
NPI number
1750732723
Active
Practice location
153 S. 900 E
Payson, UT 84651
Fax (801) 465-3579
Mailing address
1133 N. Main St, Suite 210
Layton, UT 84041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 2016AL11UT207238 (UT) |
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.
Other assisted living facility providers in Payson
About NPI 1750732723
Country Lane Payson Operating LLC's National Provider Identifier is 1750732723, issued on Jun 30, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Payson, UT. The record was last updated on Jun 30, 2016.