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Organization

FAMILY MATTERS SERVICES INC

Active
Other names
Family Matters Services
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE L WALTERS (CORPORATE OFFICER)
(801) 628-7355
Entity
Organization

Contact information

Practice address
1604 CHURCH ST, LAYTON, UT 84041-8335
(801) 771-7020
(801) 771-7003
Mailing address
1604 CHURCH ST, LAYTON, UT 84041-8335
(801) 771-7020
(801) 771-7003

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163W00000X
UT
05
320900000X
UT
05
372500000X
UT
05
372600000X
UT
Enumeration date
01/08/2007
Last updated
02/18/2009
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