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NPI Code Detail

MEDICARE: YOUNG WOMEN'S EMPOWEMEN CENTER LONG TERM 1

MEDICARE: YOUNG WOMEN'S EMPOWEMEN CENTER LONG TERM 1
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
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1447567672
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG WOMEN'S EMPOWEMEN CENTER LONG TERM 1
Provider Business Mailing Address
First Line : 68 N 180 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2130
Country : US
Telephone Number : 435-283-9932
Fax Number : 435-283-4920
Provider Business Practice Location Address
First Line : 68 N 180 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2130
Country : US
Telephone Number : 435-283-9932
Fax Number : 435-283-4920
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MS. HEATHER WINTERS
Credential :
Telephone Number : 435-340-0509
Provider Enumeration Date : 09/09/2010
Last Update Date : 09/09/2010

Similar Medicare Providers

1699084566 — YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 1
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-9934
Practice Fax: 435-283-4920
1649570490 — MEREE BRECKE
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-0164
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1225339500 — ARRIN CAMPBELL PETERSON
Practice Location Address:
68 N 180 W
EPHRAIM, UT
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Practice Fax: 435-283-9935
1396148805 — GINGR YOUNG
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-0164
Practice Fax: 435-283-2213
1447626122 — WHITLEE WINTERS
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-9932
Practice Fax: 435-283-4920
1619334273 — TARA LYNN HARRISON
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-9931
Practice Fax: 435-283-4920

Directions to “YOUNG WOMEN'S EMPOWEMEN CENTER LONG TERM 1 ” Practice Location

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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.