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MEDALLION MANOR INC.

Intermediate Care Facility, Mentally Retarded

Provo, Utah

Provider NPI: 1720098163

Organization Information:
Organization Name:  MEDALLION MANOR INC.


Practice Location:
1701 W 600 S  PROVO, UT 84601 US
Tel: 801-375-2710  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
UT2006-NCF-69





MENTALLY RETARDED JOBS UT - Page 1



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