Healthcare Provider Details

I. General information

NPI: 1578699468
Provider Name (Legal Business Name): HERITAGE SCHOOLS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 N. HERITAGE SCHOOL DRIVE
PROVO UT
84604
US

IV. Provider business mailing address

5600 N. HERITAGE SCHOOL DRIVE
PROVO UT
84604
US

V. Phone/Fax

Practice location:
  • Phone: 801-226-4600
  • Fax: 801-226-4693
Mailing address:
  • Phone: 801-226-4600
  • Fax: 801-226-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number11836
License Number StateUT

VIII. Authorized Official

Name: GLEN R ZAUGG
Title or Position: CHIEF OPERATION OFFICER
Credential:
Phone: 801-226-4601