Organization
UTAH STATE UNIVERSITY
Active
Other names
Developmental Skills Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DRAKE LEROY RASMUSSEN (PROGRAM COORDINATOR)
(435) 797-8528
Entity
Organization
Contact information
Practice address
809 N 800 E, LOGAN, UT 84321-3634
(435) 797-8532
(435) 797-8530
Mailing address
809 N 800 E, LOGAN, UT 84321-3634
(435) 797-8529
(435) 797-8530
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0700020
UT
385H00000X
Respite Care
0700020
UT
Other
Enumeration date
01/03/2007
Last updated
02/09/2011
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