NPI 1528188661
North Eastern Services - Lakeside, INC.
Practice location
- Address
- 443 Commerce Rd, Orem, UT 84058-5898
- Phone
- (801) 426-4961
- Mailing address
- 529 W 300 S, Orem, UT 84058-5398
Authorised official
- Name
- Cory Crabb
- Title
- Executive Director
- Phone
- (801) 830-1063
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1528188661
- Entity type
- Organization
- NPI issued
- 30 Mar 2007
- Record last updated
- 22 Aug 2020
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.