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Black Shirt Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lehi, Utah
NPI 1942748249

Black Shirt Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lehi, UT. Black Shirt Services practices in Lehi, UT. The NPI Number for Black Shirt Services is 1942748249 and holds a License No. 102119070160 (Utah).

The current practice location address for Black Shirt Services is 513 S 3040 W, Lehi, UT and can be reached out via phone at 385-539-0035 and via fax at 385-448-5123.

Location: 513 S 3040 W, Lehi, UT, 84043-7008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942748249
Provider Name
Black Shirt Services
Credential
Provider Entity Type
Organization
Address
513 S 3040 W, Lehi, UT, 84043-7008
Phone Number
385-539-0035
Fax Number
385-448-5123
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
513 S 3040 W
City
Lehi
State
Utah
Zip
84043-5636
Phone Number
385-539-0035
Fax Number
385-448-5123
person
Provider Business Mailing Address Details
Address
513 S 3040 W
City
Lehi
State
Utah
Zip
84043-5636
Phone Number
385-539-0035
Fax Number
385-448-5123
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
102119070160 (Utah)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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