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
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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