Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPIRIT LAKE RANCH, LLC
Active OrganizationSPIRIT LAKE RANCH, LLC is a Substance Abuse Rehabilitation Facility organization located in MONA, Utah. NPI 1639506884 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MONA, UT
Registration Details
- NPI Number
- 1639506884
- Provider Type
- Organization
- NPI Issued
- Oct 2, 2013 (12.683560362192 yrs)
- Last Updated
- Mar 29, 2017
- License
-
20208 (UT)
Practice Information
- Address
-
525 W 200 NMONA, UT, 84645Browse UT providers · Browse ZIP 84645
- Phone
- 4356232825
- Fax
- 4356232827
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.