East Lake Care Center, Llc

NPI 1326093261 - Durable Medical Equipment & Medical Supplies - 332BN1400X

NPI Details
NPI 1326093261
Enumeration Date 05/22/2006
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CRAIG R CRAIG
Position MEMBER
Phone (801) 377-9661
Fax (801) 377-9747
Practice Location
101 N 500 W
PROVO UT, 84601-2646, US
Phone (801) 377-9661
Fax (801) 377-9747
Business Location
PO BOX 57850
MURRAY UT, 84157-0850, US
Phone (801) 268-1122
Fax (801) 268-1150
Toxanomy
Taxonomy Code 332BN1400X
License State Utah
License Number 2007-NCF-292
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According to our database, East Lake Care Center, Llc NPI is 1326093261, taxonomy code is 332BN1400X and license number is 2007-NCF-292, license state is located at Utah. East Lake Care Center, Llc physically located at 101 N 500 W, Provo UT, 84601-2646. NPI Number 1033115704 has the healthcare provider type.

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1326093261 NPI number is provided on an as is basis without warranty of any kind. 1326093261 is maintained by the National Plan & Provider Enumeration System. The contents of East Lake Care Center, Llc are for informational purposes only.