OrganizationActive
Life Skills Vocational Center
NPI 1316909575 · Developmentally Disabled Services Day Training Agency · Salt Lake City, UT
Provider details
- NPI number
- 1316909575
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeanie Pettit, Owner(801) 254-2666
Specialties & taxonomies
Agencies
Practice location
2656 W 1500 S
Salt Lake City, UT 84104-4151
Phone: (801) 977-3732
Approximate (ZIP-level) locationGet directions
Mailing address
15173 Rose Canyon Rd
Herriman, UT 84065-4482
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.