East Lake Care Center, LLC

Practice location

Address

101 N 500 W, Provo, UT 84601-2646

Phone

(801) 377-9661

Fax

(801) 377-9747

Mailing address

PO Box 57850, Murray, UT 84157-0850

Authorised official

Name

Craig R Johnson

Title

Member

Phone

(801) 268-1122

Registered specialties (3)

Registry record

NPI

1326093261

Entity type

Organization

NPI issued

22 May 2006

Record last updated

3 Jan 2008

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.