NPI 1316212467

Professional Services Corporation

Organisation Case Management Agency Ogden, UT

Practice location

Address: 533 26th St Suite 102, Ogden, UT 84401-2465
Phone: (801) 621-3624
Mailing address: 533 26th St STE 102, Ogden, UT 84401-2459

Authorised official

Name: Willard Paul Oleson
Title: Director
Phone: (801) 621-3624

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 16788 (UT)

Other Case Management providers in Utah →

Registry record

NPI: 1316212467
Entity type: Organization
NPI issued: 21 Mar 2012
Record last updated: 21 Mar 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.