Organization
DANVILLE SERVICES OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE A. RYNDERS (CORPORATE HR DIRECTOR)
(801) 316-1116
Entity
Organization
Contact information
Practice address
7351 SO. UNION PARK AVE, #200, MIDVALE, UT 84047-6035
(801) 565-0700
(801) 561-3956
Mailing address
7351 SO. UNION PARK AVE, #200, MIDVALE, UT 84047-6035
(801) 565-0700
(801) 561-3956
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
UT
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10633821
DRIVER'S LICENSE NUMBER
UT
Enumeration date
01/03/2007
Last updated
07/21/2022
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