Cerebral Palsy Of Utah

NPI 1013070028 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1013070028
Enumeration Date 12/19/2006
Last Updated 09/02/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLY G SHELLY
Position EXECUTIVE DIRECTOR
Phone (801) 266-1805
Fax (801) 266-2404
Practice Location
3550 S 700 W
SALT LAKE CITY UT, 84119-4120, US
Phone (801) 266-1805
Fax (801) 266-2404
Business Location
3550 S 700 W
SALT LAKE CITY UT, 84119-4120, US
Phone (801) 266-1805
Fax (801) 266-2404
Toxanomy
Taxonomy Code 320700000X
License State
License Number
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According to our database, Cerebral Palsy Of Utah NPI is 1013070028, taxonomy code is 320700000X Cerebral Palsy Of Utah physically located at 3550 S 700 W, Salt Lake City UT, 84119-4120. NPI Number 1033115704 has the healthcare provider type.

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1013070028 NPI number is provided on an as is basis without warranty of any kind. 1013070028 is maintained by the National Plan & Provider Enumeration System. The contents of Cerebral Palsy Of Utah are for informational purposes only.