Organization
CENTRAL UTAH ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT LEVANGER (DIRECTOR OF PRODUCTIN AND FINANCES)
(801) 375-0414
Entity
Organization
Contact information
Practice address
1170 S 350 E, PROVO, UT 84606-6103
(801) 375-0414
(801) 374-8066
Mailing address
1170 S 350 E, PROVO, UT 84606-6103
(801) 375-0414
(801) 374-8066
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11752
UT
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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