OrganizationActive
Country Lane Payson Operating LLC
NPI 1750732723 · Assisted Living Facility · Payson, UT
Provider details
- NPI number
- 1750732723
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Jared Andersen, Owner
- License
- 2016AL11UT207238 (UT)
Practice location
153 S. 900 E
Payson, UT 84651
Phone: (801) 465-1490
Fax: (801) 465-3579
Mailing address
1133 N. Main St
Layton, UT 84041
Registry dates
- Enumerated
- 2016-06-30
- Last updated
- 2016-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.