Organization
LAYTON CHIROPRACTIC & ACCIDENT REHABILITATION
Active
Parent organization
BLUE MOON HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE MOON HOLDINGS, INC.
Authorized official
DR. RICHARD SARCHENKO D.C. (PHYSICIAN)
(801) 784-7104
Entity
Organization
Contact information
Practice address
872 HERITAGE PARK BLVD, SUITE 130, LAYTON, UT 84041-5714
(801) 784-7104
Mailing address
872 HERITAGE PARK BLVD, SUITE 130, LAYTON, UT 84041-5714
(801) 784-7104
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
8547239-1202
UT
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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