NPI 1629651013
Extend Your Ohana LLC
Practice location
- Address
- 4892 S Teal River Way, Murray, UT 84123-4362
- Phone
- (801) 879-6058
Authorised official
- Name
- Katja Tolo
- Title
- Manager
- Phone
- (801) 879-6058
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1629651013
- Entity type
- Organization
- NPI issued
- 3 May 2021
- Record last updated
- 3 May 2021
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.