NPI 1689674301

Utah State Developmental Center

Organisation Mental Illness Intermediate Care Facility American Fork, UT

Practice location

Address: 895 N. 900 E., American Fork, UT 84003-9199
Phone: (801) 763-4000
Fax: (801) 763-4073

Authorised official

Name: Karen Clarke
Title: Superintendent
Phone: (801) 763-4091

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 2004-NCF-95 (UT)

Other Intermediate Care Facility, Mental Illness providers in Utah →

Registry record

NPI: 1689674301
Entity type: Organization
NPI issued: 22 Jul 2005
Record last updated: 22 Aug 2020

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.