NPI | 1811054182 |
---|---|
Doing Business As | DEVELOPMENTAL SKILLS LABORATORY |
Entity Type | Organization |
Authorized Contact | DRAKE LEROY RASMUSSEN Program Coordinator 435-797-8528 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 0700020) |
Additional Taxonomies | 385H00000X Respite Care (Licence: UT 0700020) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2011-02-09 |