NPI 1184981201
Intermountain Community Supports and Services, LLC
Practice location
- Address
- 5104 Heritage Cove, Taylorsville, UT 84129
- Phone
- (435) 512-4045
- Fax
- (801) 966-3312
Authorised official
- Name
- Bryan Scott Cunningham
- Title
- Owner
- Phone
- (435) 512-4045
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1184981201
- Entity type
- Organization
- NPI issued
- 13 Apr 2012
- Record last updated
- 13 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.