Organization
PHOENIX SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITA SMITH (PRESIDENT)
(801) 825-4535
Entity
Organization
Contact information
Practice address
189 S STATE ST, SUITE 225, CLEARFIELD, UT 84015-1061
(801) 825-4535
(801) 825-8281
Mailing address
PO BOX 457, 189 S. STATE STREET SUITE 225, CLEARFIELD, UT 84089-0457
(801) 825-4535
(801) 825-8281
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2008-HHA-66098
UT
Other
Enumeration date
02/28/2008
Last updated
06/13/2011
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