Organization
ACCESS INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CHRISTENSEN EDD (TRUSTEE)
(801) 866-7762
Entity
Organization
Contact information
Practice address
940 HIGHLAND OAKS DR, BOUNTIFUL, UT 84010-3364
(801) 866-7762
Mailing address
940 HIGHLAND OAKS DR, BOUNTIFUL, UT 84010-3364
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
102037560140
UT
251S00000X
Community/Behavioral Health Agency
102037560140
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164967097
—
UT
Enumeration date
01/02/2017
Last updated
01/02/2017
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