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Contact Information

MAPLE LAKE ACADEMY
6155 S 2400 W
SPANISH FORK, UT84660-4606
 Phone: 801-798-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for MAPLE LAKE ACADEMY

NPI Number 1932467495
LBN Legal business name MAPLE LAKE ACADEMY
Authorized official MARGO VANE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2012
Last updated 05/02/2012 - About 14 years ago
Identifiers
UT License # 18290
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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