Intermountain Community Supports and Services, LLC
NPI #1184981201 in Taylorsville, Utah
Provider Information
- NPI Number
- 1184981201
- Entity Type
- Organization
- Organization Name
- Intermountain Community Supports and Services, LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Apr 13, 2012
- Last Updated
- Apr 13, 2012
Practice Location
- Address
- 5104 HERITAGE COVE
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84129
- Phone
- (435) 512-4045
Authorized Official
- Name
- MR. BRYAN SCOTT CUNNINGHAM
- Title
- OWNER
- Phone
- (435) 512-4045
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Day Training, Developmentally Disabled Services |
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