CANYON CREEK PROPERTY MANAGEMENT LLC NPI 1902172547

NPI Information

CANYON CREEK PROPERTY MANAGEMENT LLC is an assisted living facility in Cottonwood Heights, 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. CANYON CREEK PROPERTY MANAGEMENT LLC NPI is 1902172547. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Creek.

The provider's business location address is:

7235 UNION PARK AVE
COTTONWOOD HEIGHTS, UT
ZIP 84047-700
Phone: (801) 568-9909
Fax: (801) 563-1305

The provider's authorized official is Andrew White .
The authorized official title is Ceo, President, Secretary and has the following contact phone number (503) 684-1123.

The CLIA number assigned to this NPI record is 46D2044009 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 3/28/2012.

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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