Whalio Doctors

NPI 1952792004

Utah Advocacy Network

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Syracuse, UT

Practice location

Address
2075 South Bluff Road, Syracuse, UT 84075-9214
Phone
(801) 776-1380
Fax
(801) 784-4900

Authorised official

Name
David B. Andreasen
Title
Owner
Phone
(801) 643-2866

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 189610-3102-20170122 (UT)

Registry record

NPI
1952792004
Entity type
Organization
NPI issued
11 Feb 2015
Record last updated
2 May 2017

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.