Organization · Type 2 NPI
Medallion Supported Living-Springville
Intellectual Disabilities Intermediate Care Facility · Springville, UT
NPI number
1851722904
Active
Practice location
469 N Main St
Springville, UT 84663-1036
Mailing address
PO Box 51377
Provo, UT 84605-1377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1851722904
Medallion Supported Living-Springville's National Provider Identifier is 1851722904, issued on Nov 27, 2013. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Springville, UT. The record was last updated on Nov 27, 2013.