Organization
DUNGARVIN UTAH LLC
Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
TIM MADDEN (CEO)
(651) 699-0206
Entity
Organization
Contact information
Practice address
4001 S 700 E, SUITE 548, SALT LAKE CITY, UT 84107
(801) 264-6633
(801) 264-6601
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/13/2018
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