Picnic Creek Llc
Assisted Living Facility in Syracuse, UT(View on Map)
Legal Business Name
Picnic Creek Llc
NPI Number
1144875766
NPI Type
Organization
Enumeration Date
08/09/2019
Specialties
(Taxonomies)Code
310400000X
311500000X
385H00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1407 S 2000 W
1407 S 2000 W
City
Syracuse
Syracuse
State
UT
UT
Postal Code
84075-6935
84075-6935
Country
US
US
Telephone Number
(801) 776-7000
(801) 776-7000
Authorized Official
Name
Aimee Rice
Title or Position
ADMINISTRATOR
Telephone Number
(801) 776-7000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/09/2019
Provider Address
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