Organization
IDAHO IDD CAREGIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN WYATT DAVIES (PRESIDENT)
(435) 395-8213
Entity
Organization
Contact information
Practice address
4050 GREENER HILLS DR, HEBER CITY, UT 84032-4331
(435) 395-8213
Mailing address
4050 GREENER HILLS DR, HEBER CITY, UT 84032-4331
(435) 395-8213
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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