Dungarvin Utah LLC

NPI #1336218924 in Salt Lake City, Utah

Provider Information

NPI Number
1336218924
Entity Type
Organization
Organization Name
Dungarvin Utah LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DUNGARVIN GROUP, INC.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Nov 7, 2006
Last Updated
Jul 13, 2018

Practice Location

Address
4001 S 700 E
Address 2
SUITE 548
State
Utah
ZIP Code
84107
Phone
(801) 264-6633

Authorized Official

Name
TIM MADDEN
Title
CEO
Phone
(651) 699-0206

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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