Organization
CENTRAL UTAH CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARLENE CURCIO (EXECUTIVE DIRECTOR)
(801) 373-5044
Entity
Organization
Contact information
Practice address
491 N FREEDOM BLVD, PROVO, UT 84601-2824
(801) 373-5044
(801) 373-5094
Mailing address
491 N FREEDOM BLVD, PROVO, UT 84601-2824
(801) 373-5044
(801) 373-5094
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0177
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177
—
UT
Enumeration date
03/21/2007
Last updated
08/22/2020
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