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NPI Code Detail

MEDICARE: YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 1

MEDICARE: YOUNG WOMEN'S EMPOWERMENT 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 Facility16463UT

General Provider Information

NPI Number : 1699084566
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG WOMEN'S EMPOWERMENT 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 : 435-283-9934
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 : 435-283-9934
Fax Number : 435-283-4920
Authorized Official
Title or Position : SDS REPRESENTATIVE
Name : MRS. ARRIN PETERSON
Credential :
Telephone Number : 435-283-9932
Provider Enumeration Date : 09/27/2010
Last Update Date : 09/27/2010

Similar Medicare Providers

1447567672 — YOUNG WOMEN'S EMPOWEMEN CENTER LONG TERM 1
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-9932
Practice Fax: 435-283-4920
1649570490 — MEREE BRECKE
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-0164
Practice Fax: 435-283-2213
1225339500 — ARRIN CAMPBELL PETERSON
Practice Location Address:
68 N 180 W
EPHRAIM, UT
84627-2130
Practice Phone: 435-283-9932
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 EMPOWERMENT CENTER LONG TERM 1 ” 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.

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