LARRY LINDE INC NPI 1003959149

NPI Information

LARRY LINDE INC is a residential treatment facility emotionally disturbed children in Spanish Fork, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LARRY LINDE INC NPI is 1003959149. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Youth Services.

The provider's business location address is:

31 EAST 1600 NORTH
SPANISH FORK, UT
ZIP 84660
Phone: (801) 798-9077
Fax: (801) 798-8949

The provider's authorized official is Corbin J Linde .
The authorized official title is President and has the following contact phone number (801) 798-9077.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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