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Organization
PICNIC CREEK LLC
Active
Organization
PICNIC CREEK LLC
Active
Other names
Beehive Homes of Syracuse
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE JO RICE (ADMINISTRATOR)
(801) 776-7000
Entity
Organization
Contact information
Practice address
1407 S 2000 W, SYRACUSE, UT 84075-6935
(801) 776-7000
(801) 776-9464
Mailing address
1407 S 2000 W, SYRACUSE, UT 84075-6935
(801) 776-7000
(801) 776-9464
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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