| Imperial Healing Estate | |
|
4194 Imperial Way Provo UT 84604-5328 | |
| (385) 312-0352 | |
| Not Available |
| Full Name | Imperial Healing Estate |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4194 Imperial Way, Provo, Utah |
| Authorized Official Name and Position | Lorna Burr (OWNER) |
| Authorized Official Contact | 8015987765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Healing Estate 1561 W Aspen Trail Dr Bluffdale UT 84065-5183 Ph: (385) 312-0352 | Imperial Healing Estate 4194 Imperial Way Provo UT 84604-5328 Ph: (385) 312-0352 |
| NPI Number | 1033606298 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033606298 | NPI | - | NPPES |
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