Organization
HOME BASE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ATIGA (EXECUTIVE DIRECTOR)
(385) 202-0858
Entity
Organization
Contact information
Practice address
3907 S SAYBROOK LN, WEST VALLEY CITY, UT 84128-5304
(385) 202-0858
Mailing address
3907 S SAYBROOK LN, WEST VALLEY CITY, UT 84128-5304
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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