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NPI Code Detail

MEDICARE: BEEHIVE HOMES OF WASHINGTON COUNTY, INC.

MEDICARE: BEEHIVE HOMES OF WASHINGTON COUNTY, INC.
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
1310400000XAssisted Living FacilityUT

General Provider Information

NPI Number : 1558421115
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEEHIVE HOMES OF WASHINGTON COUNTY, INC.
Provider Business Mailing Address
First Line : 1122 N CORAL CANYON BLVD
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-2517
Country : US
Telephone Number : 435-619-0499
Fax Number :
Provider Business Practice Location Address
First Line : 2041 MESA PALMS DR
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-5546
Country : US
Telephone Number : 435-634-1119
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MARK RULON CORRY
Credential :
Telephone Number : 435-619-0499
Provider Enumeration Date : 12/12/2006
Last Update Date : 08/22/2020

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