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375 Rainbow Ln Midway UT 84049-7001 | |
(435) 654-1642 | |
Not Available |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 375 Rainbow Ln, Midway, Utah |
Authorized Official Name and Position | Daniel Warner (CEO) |
Authorized Official Contact | 3546541082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1000 Midway UT 84049 Ph: (435) 654-1642 | 375 Rainbow Ln Midway UT 84049-7001 Ph: (435) 654-1642 |
NPI Number | 1699119578 |
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Provider Enumeration Date | 04/23/2013 |
Last Update Date | 10/18/2022 |
Certification Date | 10/18/2022 |
Identifier | Type | State | Issuer |
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1699119578 | NPI | - | NPPES |
DT-77237 | Other | UT | UTAH OFFICE OF LICENSING |
RT-52330 | Other | UT | UTAH OFFICE OF LICENSING |