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SMC EAST MILL CREEK LLC NPI 1417011669


NPI Information

NPI: 1417011669
Provider Name: SMC EAST MILL CREEK, LLC

Doing Business As: WENTWORTH AT EAST MILLCREEK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1871 E 3300 S
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 485-0123
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SMC EAST MILL CREEK, LLC is an assisted living facility in Salt Lake City, UT. The provider is 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. SMC EAST MILL CREEK, LLC NPI is 1417011669. The provider is registered as an organization entity type.
The provider Is Doing Business As Wentworth At East Millcreek.

The provider's business location address is:

1871 E 3300 S
SALT LAKE CITY, UT
ZIP 84106-969
Phone: (801) 485-0123
Fax: (801) 485-0234

The provider's authorized official is Joyce Caughron .
The authorized official title is Executive Director and has the following contact phone number (801) 485-0123.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2005-ALII-976UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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