Organization · Type 2 NPI
Utah Advocacy Network
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Syracuse, UT
Practice location
2075 South Bluff Road
Syracuse, UT 84075-9214
Fax (801) 784-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 189610-3102-20170122 (UT) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Syracuse
About NPI 1952792004
Utah Advocacy Network's National Provider Identifier is 1952792004, issued on Feb 11, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Syracuse, UT. The record was last updated on May 2, 2017.