Key Residential Services

NPI #1164542379 in Orem, Utah

Provider Information

NPI Number: 1164542379
Entity Type: Organization
Organization Name: Key Residential Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1361 S 740 E
City: Orem
State: Utah
ZIP Code: 84097-8083
Phone: (801) 434-4389

Authorized Official

Name: MR. KENNETH E EKONG, MSW
Title: EXECUTIVE DIRECTOR
Phone: (801) 360-6357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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