Organization · Type 2 NPI
Utah State Developmental Center
Mental Illness Intermediate Care Facility · American Fork, UT
NPI number
1689674301
Active
Practice location
895 N. 900 E.
American Fork, UT 84003-9199
Fax (801) 763-4073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 2004-NCF-95 (UT) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1689674301
Utah State Developmental Center's National Provider Identifier is 1689674301, issued on Jul 22, 2005. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in American Fork, UT. The record was last updated on Aug 22, 2020.