1326093261 EAST LAKE CARE CENTER, LLC

Skilled Nursing Facility

Active

Basic Information

Organization Name
EAST LAKE CARE CENTER, LLC
Enumeration Date
May 22, 2006
Last Update
January 3, 2008
Authorized Official
CRAIG R JOHNSON
MEMBER
Phone: (801) 268-1122

Practice Location

Address
101 N 500 W
PROVO, UT 846012646
Phone
(801) 377-9661
Fax
(801) 377-9747

Mailing Address

Address
PO BOX 57850
MURRAY, UT 841570850
Phone
(801) 268-1122
Fax
(801) 268-1150

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nursing Facility Supplies (DME)
Nursing Facility Supplies
332BN1400X Durable Medical Equipment & Medical Supplies 2007-NCF-292 UT No
Parenteral & Enteral Nutrition Supplies (DME)
Parenteral & Enteral Nutrition
332BP3500X Durable Medical Equipment & Medical Supplies 2007-NCF-292 UT No
Skilled Nursing Facility
314000000X Skilled Nursing Facility 2004-NCF-292 UT Primary

Other Identifiers

Identifier Type State Issuer
870439756011 05 UT N/A

Frequently Asked Questions

What is EAST LAKE CARE CENTER, LLC's NPI number?
EAST LAKE CARE CENTER, LLC's NPI number is 1326093261.
Which doctor has NPI number 1326093261?
The doctor with NPI number 1326093261 is EAST LAKE CARE CENTER, LLC.
What is EAST LAKE CARE CENTER, LLC's practice address?
EAST LAKE CARE CENTER, LLC's practice address is 101 N 500 W, PROVO, UT, 846012646.
Which doctor practices at 101 N 500 W, PROVO, UT, 846012646?
EAST LAKE CARE CENTER, LLC practices at 101 N 500 W, PROVO, UT, 846012646.
What is EAST LAKE CARE CENTER, LLC's mailing address?
EAST LAKE CARE CENTER, LLC's mailing address is PO BOX 57850, MURRAY, UT, 841570850.
What is EAST LAKE CARE CENTER, LLC's phone number?
EAST LAKE CARE CENTER, LLC's phone number is (801) 377-9661.
Who is (801) 377-9661?
(801) 377-9661 is the phone number for EAST LAKE CARE CENTER, LLC.
What is EAST LAKE CARE CENTER, LLC's specialty?
EAST LAKE CARE CENTER, LLC's specialty is Skilled Nursing Facility.
What type of doctor is EAST LAKE CARE CENTER, LLC?
EAST LAKE CARE CENTER, LLC is a Skilled Nursing Facility.
Is EAST LAKE CARE CENTER, LLC a Skilled Nursing Facility?
Yes, EAST LAKE CARE CENTER, LLC is a Skilled Nursing Facility.
Is EAST LAKE CARE CENTER, LLC still practicing?
Yes, EAST LAKE CARE CENTER, LLC is currently practicing.
Is EAST LAKE CARE CENTER, LLC accepting new patients?
EAST LAKE CARE CENTER, LLC may be accepting new patients. Please call their office at (801) 377-9661 to inquire about availability.
Is NPI 1326093261 still active?
Yes, NPI 1326093261 is currently active.
Where does EAST LAKE CARE CENTER, LLC practice?
EAST LAKE CARE CENTER, LLC practices in PROVO, UT.