Easterseals-Goodwill Northern Rocky Mountain, Inc.

NPI #1558593830 in Kearns, Utah

Provider Information

NPI Number
1558593830
Entity Type
Organization
Organization Name
Easterseals-Goodwill Northern Rocky Mountain, Inc.
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 20, 2009
Last Updated
Mar 26, 2019

Practice Location

Address
5242 SOUTH 4820 WEST
Address 2
ATT JANET WADE
City
Kearns
State
Utah
ZIP Code
84118
Phone
(801) 633-2091

Authorized Official

Name
MARK SHERMAN
Title
CFO
Phone
(406) 771-3762

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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