Organization · Type 2 NPI

Utah State Developmental Center Pharmacy

Intellectual and/or Developmental Disabilities Residential Treatment Facility · American Fork, UT

NPI number 1164435129 Active

Practice location

895 N 900 E
American Fork, UT 84003-9183

Fax (801) 763-4073

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X122434-1704 (UT)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

12 other providers at this address

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About NPI 1164435129

Utah State Developmental Center Pharmacy's National Provider Identifier is 1164435129, issued on Aug 14, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in American Fork, UT. The record was last updated on Aug 22, 2020.