NPI 1235481763

Mulberry Hollow Community Services

Organisation Supports Brokerage Agency Holladay, UT

Practice location

Address: 2885 E Cherry Blossom Ln, Holladay, UT 84117-4607
Phone: (801) 671-8407

Authorised official

Name: Evert Theodore Pierce
Title: Executive Director
Phone: (801) 671-8407

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Utah →

Registry record

NPI: 1235481763
Entity type: Organization
NPI issued: 8 Oct 2012
Record last updated: 8 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.