NPI 1326418328

Ddms of Utah No.2

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Bountiful, UT

Practice location

Address: 340 N 100 W, Bountiful, UT 84010-6054
Phone: (801) 292-6797
Fax: (801) 295-3660
Mailing address: 119 S Pacific Dr 119, American Fork, UT 84003-2196

Authorised official

Name: Misti Ann Buck
Title: Director of Operations
Phone: (801) 763-9299

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 2015-SHCF-344 (UT)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Utah →

Registry record

NPI: 1326418328
Entity type: Organization
NPI issued: 2 Oct 2015
Record last updated: 8 Jun 2023

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.