Medallion Supported Living-Payson
Medallion Supported Living-Payson is an Intellectual Disabilities Intermediate Care Facility in Payson, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
Practice location Address checks out
2192 W State RdPayson, UT 84651-4539
Phone: (801) 375-2710
Fax: (801) 377-3651
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 2011-SHCF-100069 (UT) |
|---|
Record details
| NPI number | 1043518145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Merlin Moyes — Owner · (801) 375-2710 |
| Other names | Medallion Manor Inc |
| NPI enumerated | March 14, 2011 |
| Last updated in NPPES | March 14, 2011 |
| Mailing address | Po Box 51377, Provo, UT 84605-1377 |