Medallion Manor Inc
Medallion Manor Inc is an Intellectual Disabilities Intermediate Care Facility in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1701 W 600 SProvo, UT 84601-3832
Phone: (801) 375-2710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 2006-NCF-69 (UT) |
|---|
Record details
| NPI number | 1720098163 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Merlin Moyes — Administrator · (801) 375-2710 |
| NPI enumerated | August 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 51377, Provo, UT 84605-1377 |
Other providers in Provo
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Provo Care Center
256 E Center St, Provo, UT 84606-3107 · (180) 137-3877