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Organization
WHITE RIVER MC HEALTHCARE LLC
Active
Organization
WHITE RIVER MC HEALTHCARE LLC
Active
Other names
White River Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(801) 447-9829
Entity
Organization
Contact information
Practice address
2454 COLE ST, ENUMCLAW, WA 98022-3648
(360) 825-4565
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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