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Mesa Vista INC

Intermediate Care Facility, Intellectual Disabilities in Orem, UT. Organization (NPI-2).

NPI number1457318917
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457318917
Entity type
Organization (NPI-2)
Legal business name
Mesa Vista INC
Organization subpart
No
Enumeration date
Apr 27, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities2006-NCF-551UTYes

Practice location

394 W 400 N
Orem, UT 84057-4663

Phone 801-225-9292 · Fax 801-221-7617

Mailing address

394 W 400 N
Orem, UT 84057-4663

Phone 801-225-9292 · Fax 801-221-7617

Authorized official

Karen A Root
Owner/Administrator
8012259292

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