MEDICARE: ZION RECOVERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	687	UT

General Provider Information

NPI Number	:	1932521226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION RECOVERY

Provider Business Mailing Address
First Line	:	4682 FOXWOOD DR
Second Line	:
City	:	EAGLE MOUNTAIN
State	:	UT
Zip	:	84005-6176
Country	:	US
Telephone Number	:	626-797-9977
Fax Number	:	626-844-2977

Provider Business Practice Location Address
First Line	:	4682 FOXWOOD DR
Second Line	:
City	:	EAGLE MOUNTAIN
State	:	UT
Zip	:	84005-6176
Country	:	US
Telephone Number	:	626-797-9977
Fax Number	:	626-844-2977

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MATTHEW JACOBSON
Credential	:
Telephone Number	:	626-797-9977

Provider Enumeration Date	:	01/06/2014
Last Update Date	:	01/06/2014

Similar Medicare Providers

1831031830 — RAVEN GUNN LLC
Practice Location Address:

249 HARBOR POINTE DR
STONE MOUNTAIN, GA
30087-6176

Practice Phone: 404-219-2909
Practice Fax:

1407521214 — BRUNO FERREIRA SILVA APRN
Practice Location Address:

7811 N WINDHOVER RD
EAGLE MOUNTAIN, UT
84005-4346

Practice Phone: 801-602-1235
Practice Fax:

1457293383 — MONIQUE YOUNG
Practice Location Address:

6623 N UNITY WAY
EAGLE MOUNTAIN, UT
84005-5426

Practice Phone: 801-440-5769
Practice Fax:

1164120077 — MARY E MARTIN DEM
Practice Location Address:

983 E WADDELL ST
EAGLE MOUNTAIN, UT
84005-4598

Practice Phone: 801-416-3602
Practice Fax:

1619810934 — ABRIL WELLS LMT
Practice Location Address:

9118 N KILKENNY WAY
EAGLE MOUNTAIN, UT
84005-4460

Practice Phone: 801-243-8688
Practice Fax:

1306832944 — DR. CHARLES C SOUTHERLAND DPM
Practice Location Address:

3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT
84005-5548

Practice Phone: 801-893-8811
Practice Fax:

Directions to “ZION RECOVERY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.