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Organization

MOTHERS LOUNGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT ANDERSON (OPERATIONS - PROJECT MANAGER)
(801) 815-7201
Entity
Organization

Contact information

Practice address
363 W INDUSTRIAL DR, PLEASANT GROVE, UT 84062-2646
(801) 815-7201
Mailing address
363 W INDUSTRIAL DR, PLEASANT GROVE, UT 84062-2646
(801) 815-7201

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
UT

Other

Enumeration date
10/01/2015
Last updated
10/19/2015
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