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Organization
CENTRAL UTAH CENTER FOR INDEPENDENT LIVING
Active
Organization
CENTRAL UTAH CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARLENE CURCIO (EXECUTIVE DIRECTOR)
(801) 373-5044
Entity
Organization
Contact information
Practice address
491 N FREEDOM BLVD, PROVO, UT 84601-2824
(801) 373-5044
(801) 373-5094
Mailing address
491 N FREEDOM BLVD, PROVO, UT 84601-2824
(801) 373-5044
(801) 373-5094
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0177
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177
—
UT
Enumeration date
03/21/2007
Last updated
08/22/2020
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