Organization
MATTS PLACE
Active
Parent organization
LIFE LONG SKILLS FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE LONG SKILLS FOUNDATION
Authorized official
SHERLENE T DEAN MD (FOUNDER)
(801) 599-8333
Entity
Organization
Contact information
Practice address
190 SOUTH MAIN STREET, CENTERVILLE, UT 84014-2814
(801) 599-8333
Mailing address
190 SOUTH MAIN STREET, CENTERVILLE, UT 84014-2814
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
UT
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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