NPI 1558593830

Easterseals-Goodwill Northern Rocky Mountain, INC.

Organisation Early Intervention Provider Agency Kearns, UT

Practice location

Address: 5242 South 4820 West Att Janet Wade, Kearns, UT 84118
Phone: (801) 633-2091
Mailing address: 425 1st Ave N, Great Falls, MT 59401-2507

Authorised official

Name: Mark Sherman
Title: Cfo
Phone: (406) 771-3762

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1558593830
Entity type: Organization
NPI issued: 20 Aug 2009
Record last updated: 26 Mar 2019

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.