Provider Demographics
NPI:1346234267
Name:UPPER VALLEY OPTIONS, INC.
Entity Type:Organization
Organization Name:UPPER VALLEY OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRKINBINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-359-3133
Mailing Address - Street 1:1120 STOCKS AVE
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-3590
Mailing Address - Country:US
Mailing Address - Phone:208-359-3133
Mailing Address - Fax:
Practice Address - Street 1:1120 STOCKS AVE
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-3590
Practice Address - Country:US
Practice Address - Phone:208-359-3133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7UPPER066251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services