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Organization

ALPINE SCHOOL DISTRICT

Active
Other names
Alpine Transition & Employment Center Adult Program
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. M. SUSAN HORNE (MEDICAID MANAGER)
(801) 756-6060
Entity
Organization

Contact information

Practice address
350 N STATE ST, LINDON, UT 84042-1830
(801) 785-8727
(801) 785-8790
Mailing address
169 N 1100 E, AMERICAN FORK, UT 84003-2917
(801) 756-6060
(801) 756-6060

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0603729S006
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0603729S006
CERTIFICATE NUMBER
UT
Enumeration date
01/03/2007
Last updated
09/01/2010
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