Provider Demographics
NPI:1144370586
Name:CACHE EMPLOYMENT AND TRAINING CENTER
Entity type:Organization
Organization Name:CACHE EMPLOYMENT AND TRAINING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAE LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-752-7952
Mailing Address - Street 1:275 W 400 S
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-5218
Mailing Address - Country:US
Mailing Address - Phone:435-752-7952
Mailing Address - Fax:435-752-7958
Practice Address - Street 1:275 W 400 S
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-5218
Practice Address - Country:US
Practice Address - Phone:435-752-7952
Practice Address - Fax:435-752-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2132251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========Medicaid