Willow Creek School Llc in Provo - Residential Treatment Facility, Emotionally Disturbed Children
Willow Creek School Llc - NPI 1841367935
Willow Creek School Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Provo, Utah. Willow Creek School Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willow Creek School Llc is 1841367935. The last update date is 2020-08-22.
Willow Creek School Llc's current location address is 1530 S 500 W, Provo, Utah. You can contact this provider via phone number 8013772215. The mailing address for Willow Creek School Llc is 1530 S 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek School Llc |
|---|---|
| Address | 1530 S 500 W, Provo, Utah |
| Phone Number | 8013772215 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ward Mark |
| Telephone Number | 8013772215 |
NPI Number Detail
| NPI Number | 1841367935 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1530 S 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846016014 |
| Phone Number | 8013772215 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 10842 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identification code assigned to Willow Creek School Llc by the Centers for Medicare & Medicaid Services?
The Willow Creek School Llc has been issued the NPI (National Provider Identifier) 1841367935. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Willow Creek School Llc is geographically located?
The Willow Creek School Llc is physically situated at the following location: 1530 S 500 W, Provo, UT, 846016014.
What is Willow Creek School Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Creek School Llc's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841367935 to Willow Creek School Llc?
The Willow Creek School Llc received its 1841367935 assignment from the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details pertaining to Willow Creek School Llc last refreshed?
The information related to the Willow Creek School Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.