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Contact Information

MOUNTAIN VALLEY RECOVERY LLC
6910 N COWBOY LANE
HOLDEN, UT84636
 Phone: 435-253-0656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for MOUNTAIN VALLEY RECOVERY LLC

NPI Number 1235793290
LBN Legal business name MOUNTAIN VALLEY RECOVERY LLC
Authorized official JUSTIN NIELSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2019
Last updated 05/06/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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