Organization
ACTIVECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE ACTON (CFO)
(801) 895-2640
Entity
Organization
Contact information
Practice address
4897 LAKE PARK BLVD STE 140, SALT LAKE CITY, UT 84120-8211
(801) 895-2640
Mailing address
4897 LAKE PARK BLVD STE 140, SALT LAKE CITY, UT 84120-8211
(801) 895-2640
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
333300000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333300000X
—
UT
Enumeration date
12/09/2011
Last updated
12/09/2011
Update your record
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