MAPLE SPRINGS LLC NPI 1841568128

NPI Information

MAPLE SPRINGS, LLC is an assisted living facility in Brigham 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. MAPLE SPRINGS, LLC NPI is 1841568128. The provider is registered as an organization entity type.

The provider's business location address is:

1040 MEDICAL DR
BRIGHAM CITY, UT
ZIP 84302-599
Phone: (435) 723-9100
Fax: (435) 723-9150

The provider's authorized official is Nicholas Adam Larsen .
The authorized official title is Administrator and has the following contact phone number (435) 723-9100.

The CLIA number assigned to this NPI record is 46D2195508 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.

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:

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