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EQUINE JOURNEYS LLC NPI 1700168374


NPI Information

NPI: 1700168374
Provider Name: EQUINE JOURNEYS, LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
14 NORTH MAIN STREET
LOA, UT
ZIP 84747
Phone: (435) 836-2535
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EQUINE JOURNEYS, LLC is a residential treatment facility emotionally disturbed children in Loa, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. EQUINE JOURNEYS, LLC NPI is 1700168374. The provider is registered as an organization entity type.

The provider's business location address is:

14 NORTH MAIN STREET
LOA, UT
ZIP 84747
Phone: (435) 836-2535
Fax: (435) 836-2537

The provider's authorized official is Brandon M Burr .
The authorized official title is Clinical Director and has the following contact phone number (435) 836-2535.

The enumeration date for this NPI number is 9/9/2011 and was last updated on 9/9/2011.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children18393UTAHYes

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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