| Key Supports & Residential Services, Llc | |
|
1608 E 1100 S Springville UT 84663-3242 | |
| (801) 367-4589 | |
| Not Available |
| Full Name | Key Supports & Residential Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1608 E 1100 S, Springville, Utah |
| Authorized Official Name and Position | Stacie Webber-montoya (OWNER) |
| Authorized Official Contact | 8013674589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Supports & Residential Services, Llc 1608 E 1100 S Springville UT 84663-3242 Ph: (801) 367-4589 | Key Supports & Residential Services, Llc 1608 E 1100 S Springville UT 84663-3242 Ph: (801) 367-4589 |
| NPI Number | 1972227585 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972227585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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