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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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