Organization
NINE'S FOSTER AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAUATA BLOOMFIELD (OWNER)
(801) 750-9465
Entity
Organization
Contact information
Practice address
6526 S MOUNT WHITNEY LN, SALT LAKE CITY, UT 84118-9362
(801) 750-9465
Mailing address
6526 S MOUNT WHITNEY LN, SALT LAKE CITY, UT 84118-9362
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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