Organization
SPECIALIZED SUPPORTED LIVING SERVICES, INC
Active
Other names
S.S.L.S., Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHI J SUTTON (EXECUTIVE DIRECTOR/PRESIDENT)
(801) 814-0506
Entity
Organization
Contact information
Practice address
774 W 2275 N, LAYTON, UT 84041-5306
(801) 814-0506
(801) 991-3560
Mailing address
774 W 2275 N, LAYTON, UT 84041-5306
(801) 814-0506
(801) 991-3560
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
56415640140
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
*0287
—
UT
05
—
0285
—
UT
Enumeration date
08/23/2006
Last updated
08/22/2020
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