Organization
ISAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY VALCARCE (CO-EXECUTIVE DIRECTOR)
(801) 268-4454
Entity
Organization
Contact information
Practice address
321 N MALL DR STE A101, ST GEORGE, UT 84790-7303
(435) 628-8075
Mailing address
321 N MALL DR STE A101, ST GEORGE, UT 84790-7303
(435) 628-8075
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
4860062-3501
UT
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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