Provider Demographics
NPI:1104032317
Name:VALLEY PERSONNEL SERVICE INC
Entity Type:Organization
Organization Name:VALLEY PERSONNEL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXT DRICTER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-226-4411
Mailing Address - Street 1:1368 W 130 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5136
Mailing Address - Country:US
Mailing Address - Phone:801-226-4411
Mailing Address - Fax:801-426-9731
Practice Address - Street 1:1368 W 130 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5136
Practice Address - Country:US
Practice Address - Phone:801-226-4411
Practice Address - Fax:801-426-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT0350251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0350OtherDSPD