Provider Demographics
NPI:1558416289
Name:CENTRAL UTAH ENTERPRISES
Entity Type:Organization
Organization Name:CENTRAL UTAH ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRODUCTIN AND FINANCES
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-375-0414
Mailing Address - Street 1:1170 S 350 E
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-6103
Mailing Address - Country:US
Mailing Address - Phone:801-375-0414
Mailing Address - Fax:801-374-8066
Practice Address - Street 1:1170 S 350 E
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-6103
Practice Address - Country:US
Practice Address - Phone:801-375-0414
Practice Address - Fax:801-374-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11752251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services