Organization
HAVEN HOME FOR GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA KAY DALTON (EXECUTIVE DIRECTOR)
(480) 208-4638
Entity
Organization
Contact information
Practice address
185 E 400 N, SPANISH FORK, UT 84660-1563
(801) 669-8032
(801) 850-9354
Mailing address
PO BOX 728, SPANISH FORK, UT 84660-0728
(801) 669-8032
(801) 850-9354
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
UT
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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