NPI 1336218924
Dungarvin Utah LLC
Practice location
- Address
- 4001 S 700 E Suite 548, Salt Lake City, UT 84107
- Phone
- (801) 264-6633
- Fax
- (801) 264-6601
- Mailing address
- 1444 Northland Dr STE 200, Mendota Heights, MN 55120-1032
Authorised official
- Name
- Tim Madden
- Title
- Ceo
- Phone
- (651) 699-0206
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1336218924
- Entity type
- Organization
- NPI issued
- 7 Nov 2006
- Record last updated
- 13 Jul 2018
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.