OrganizationActive
Lifeskills Vocational Center
NPI 1962492504 · Developmentally Disabled Services Day Training Agency · Salt Lake City, UT
Provider details
- NPI number
- 1962492504
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Jeanie Pettit, Manager
- License
- 19967974 (UT)
Practice location
1656 W 1500 S
Salt Lake City, UT 84104
Phone: (801) 977-3732
Fax: (801) 977-3751
Mailing address
15173 Rose Canyon Rd
Herriman, UT 84065-4482
Registry dates
- Enumerated
- 2005-10-25
- 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.