MESA VISTA INC NPI 1457318917

NPI Information

MESA VISTA INC is an intermediate care facility mentally retarded in Orem, UT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MESA VISTA INC NPI is 1457318917. The provider is registered as an organization entity type.

The provider's business location address is:

394 W 400 N
OREM, UT
ZIP 84057-663
Phone: (801) 225-9292
Fax: (801) 221-7617

The provider's authorized official is Karen A Root .
The authorized official title is Owner/administrator and has the following contact phone number (801) 225-9292.

The CLIA number assigned to this NPI record is 46D2198292 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 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:

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