# LARRY LINDE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LARRY LINDE INC
- **Other names:** Heritage Youth Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003959149
- **Legal business name:** LARRY LINDE INC
- **Authorized official:** CORBIN J LINDE (PRESIDENT)
- **Authorized official phone:** (801) 798-9077

## Contact information

- **Practice address:** 31 EAST 1600 NORTH, SPANISH FORK, UT 84660
- **Practice address phone:** (801) 798-9077
- **Practice address fax:** (801) 798-8949
- **Mailing address:** PO BOX 117, SPANISH FORK, UT 84660
- **Mailing address phone:** (801) 798-9077
- **Mailing address fax:** (801) 798-8949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 11559 | UT | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 13995 | UT | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 07/15/2008