Organization
MOUNTAIN VIEW RETIREMENT, INC.
Active
Other names
Lake Ridge Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
960 S GENEVA RD, OREM, UT 84059-5847
(801) 225-6559
(801) 225-0372
Mailing address
960 S GENEVA RD, OREM, UT 84059-5847
(801) 225-6559
(801) 225-0372
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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