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COUNTRY LANE MOUNT PLEASANT OPERATING LLC NPI 1437501772


NPI Information

NPI: 1437501772
Provider Name: COUNTRY LANE MOUNT PLEASANT OPERATING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
160 E 200 N
MT PLEASANT, UT
ZIP 84647
Phone: (435) 462-9494
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COUNTRY LANE MOUNT PLEASANT OPERATING LLC is an assisted living facility in Mt Pleasant, 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. COUNTRY LANE MOUNT PLEASANT OPERATING LLC NPI is 1437501772. The provider is registered as an organization entity type.

The provider's business location address is:

160 E 200 N
MT PLEASANT, UT
ZIP 84647-201
Phone: (435) 462-9494
Fax: (801) 546-5230

The provider's authorized official is Jared Andersen .
The authorized official title is Owner and has the following contact phone number (801) 928-3997.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.


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 FacilityYes

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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