OrganizationActive
Dungarvin Utah LLC
NPI 1336218924 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT
Provider details
- NPI number
- 1336218924
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Dungarvin Group, Inc.
- Authorized official
- Tim Madden, Ceo
Practice location
4001 S 700 E
Suite 548
Salt Lake City, UT 84107
Phone: (801) 264-6633
Fax: (801) 264-6601
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.