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Organization
LARRY LINDE INC
Active
Organization
LARRY LINDE INC
Active
Parent organization
LARRY LINDE INC
Other names
Heritage Youth Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LARRY LINDE INC
Authorized official
CORBIN J LINDE (PRESIDENT)
(801) 798-9077
Entity
Organization
Contact information
Practice address
31 EAST 1600 NORTH, SPANISH FORK, UT 84660
(801) 798-9077
(801) 798-8949
Mailing address
PO BOX 117, SPANISH FORK, UT 84660
(801) 798-9077
(801) 798-8949
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
11559
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
13995
UT
Other
Enumeration date
02/15/2007
Last updated
07/15/2008
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