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Organization
UTAH INDEPENDENT LIVING CENTER, INC.
Active
Organization
UTAH INDEPENDENT LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A, MAIR (EXECUTIVE DIRECTOR)
(801) 466-5565
Entity
Organization
Contact information
Practice address
3445 S MAIN ST, SALT LAKE CITY, UT 84115-4418
(801) 466-5565
(801) 466-2363
Mailing address
3445 S MAIN ST, SALT LAKE CITY, UT 84115-4418
(801) 466-5565
(801) 466-2363
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0176
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176
SERVICING AND LICENCE NUM
UT
Enumeration date
01/03/2007
Last updated
08/22/2020
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