NPI 1326843566

Home Base Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility West Valley City, UT

Practice location

Address: 3907 S Saybrook Ln, West Valley City, UT 84128-5304
Phone: (385) 202-0858

Authorised official

Name: Mark Atiga
Title: Executive Director
Phone: (385) 202-0858

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1326843566
Entity type: Organization
NPI issued: 13 Feb 2025
Record last updated: 13 Feb 2025

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.