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Contact Information

LORANT S BODO
463 WEST RAWLINS CIRCLE
CENTERVILLE, UT84014
 Phone: 801-397-9707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1588843395
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/29/2007
Last updated 10/29/2007 - About 19 years ago
Identifiers
UT License # 2558
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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