Organization
EXTEND YOUR OHANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATJA TOLO (MANAGER)
(801) 879-6058
Entity
Organization
Contact information
Practice address
4892 S TEAL RIVER WAY, MURRAY, UT 84123-4362
(801) 879-6058
Mailing address
4892 S TEAL RIVER WAY, MURRAY, UT 84123-4362
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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