Medallion Supported Living in Provo - Intermediate Care Facility, Intellectual Disabilities
Medallion Supported Living - NPI 1538179981
Medallion Supported Living is a Intermediate Care Facility, Intellectual Disabilities in Provo, Utah. Medallion Supported Living practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Medallion Supported Living is 1538179981. The last update date is 2020-08-22.
Medallion Supported Living's current location address is Po Box 51377, Provo, Utah. You can contact this provider via phone number 8013752710. The mailing address for Medallion Supported Living is Po Box 51377, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medallion Supported Living |
|---|---|
| Address | Po Box 51377, Provo, Utah |
| Phone Number | 8013752710 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Moyes C Merlin |
| Telephone Number | 8013752710 |
NPI Number Detail
| NPI Number | 1538179981 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 51377 |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846051377 |
| Phone Number | 8013752710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Medallion Supported Living by the Centers for Medicare & Medicaid Services?
The Medallion Supported Living has been assigned the NPI (National Provider Identifier) 1538179981 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Medallion Supported Living is physically located?
The Medallion Supported Living is situated at the following address: Po Box 51377, Provo, UT 846051377.
What is Medallion Supported Living's specialized field of practice, and what is the corresponding taxonomy classification code?
The Medallion Supported Living's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
What is Medallion Supported Living's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Medallion Supported Living is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
When was the information regarding Medallion Supported Living most recently updated?
The details pertaining to the Medallion Supported Living, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.