Country Lane Assisted Living

LBN: Peak Medical Peachtree, Inc.
Country Lane Assisted Living is an health care organization with primary practice located at 985 S 800 W , Brigham City UT 84302-3042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Peak Medical Peachtree, Inc. can be contacted via phone (435) 723-1394, or through Mathies, William A. via phone (505) 821-3355.

Contact Information

Primary practice address
985 S 800 W Brigham City UT 84302-3042
Phone: (435) 723-1394
Fax: (435) 723-1416
Website:
Map and Directions
Authorized official contact:
Name: Mathies, William A.
Phone: (505) 821-3355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2004ALI47536 Utah
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2004ALII7538 Utah

Profile Details

NPI number 1144275587
LBN Legal business name Peak Medical Peachtree, Inc.
DBA Doing business as Country Lane Assisted Living
Authorized official Mathies, William A.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2006
Last updated Sep 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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