# WHITE RIVER MC HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White River Memory Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306688957
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (801) 447-9829

## Contact information

- **Practice address:** 2454 COLE ST, ENUMCLAW, WA 98022-3648
- **Practice address phone:** (360) 825-4565
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024