Lavallee Corporation in Ogden - Community Based Residential Treatment Facility, Mental Illness
Lavallee Corporation - NPI 1134310956
Lavallee Corporation is a Community Based Residential Treatment Facility, Mental Illness in Ogden, Utah. Lavallee Corporation practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Lavallee Corporation is 1134310956. The last update date is 2007-08-06.
Lavallee Corporation's current location address is 121 Country Club Dr, Ogden, Utah. You can contact this provider via phone number 8016950386. The mailing address for Lavallee Corporation is 121 Country Club Dr, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lavallee Corporation |
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Address | 121 Country Club Dr, Ogden, Utah |
Phone Number | 8016950386 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Lavallee A Jeffrey |
Credentials | LMFT |
Telephone Number | 8016950386 |
NPI Number Detail
NPI Number | 1134310956 |
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Provider Enumeration Date | 2007-08-06 |
Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
Address | 121 Country Club Dr |
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City | Ogden |
State | Utah (UT) |
Post Code | 844052704 |
Phone Number | 8016950386 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | 3314093902 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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788007788057 | UT | -- |
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What is the unique 10-digit identification code issued to Lavallee Corporation by the Centers for Medicare & Medicaid Services?
The Lavallee Corporation has been assigned the NPI (National Provider Identifier) 1134310956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lavallee Corporation's facilities are situated?
The facilities of Lavallee Corporation are physically located at the following address: 121 Country Club Dr, Ogden, UT, 844052704.
What is Lavallee Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lavallee Corporation's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134310956 to Lavallee Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1134310956 to Lavallee Corporation on 2007-08-06.
As of what date were the Lavallee Corporation's details last updated?
The information pertaining to the Lavallee Corporation, including its address, specialty, and other details, was most recently updated on 2007-08-06.
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