Organization
MULBERRY HOLLOW COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERT THEODORE PIERCE (EXECUTIVE DIRECTOR)
(801) 671-8407
Entity
Organization
Contact information
Practice address
2885 E CHERRY BLOSSOM LN, HOLLADAY, UT 84117-4607
(801) 671-8407
Mailing address
2885 E CHERRY BLOSSOM LN, HOLLADAY, UT 84117-4607
(801) 671-8407
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
UT
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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