| Access Independence | |
|
940 Highland Oaks Dr Bountiful UT 84010-3364 | |
| (801) 866-7762 | |
| Not Available |
| Full Name | Access Independence |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 940 Highland Oaks Dr, Bountiful, Utah |
| Authorized Official Name and Position | Jaime Christensen (TRUSTEE) |
| Authorized Official Contact | 8018667762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Independence 940 Highland Oaks Dr Bountiful UT 84010-3364 Ph: () - | Access Independence 940 Highland Oaks Dr Bountiful UT 84010-3364 Ph: (801) 866-7762 |
| NPI Number | 1164967097 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 01/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164967097 | NPI | - | NPPES |
| 1164967097 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 102037560140 (Utah) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 102037560140 (Utah) | Primary |
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