Damon Keith Anderson
Foster Care Agency in Brigham City, UT. Individual provider (NPI-1).
NPI number1598034266
StatusActive
Last updated in NPPESDec 23, 2011
Details
- NPI
- 1598034266
- Entity type
- Individual (NPI-1)
- Name
- Damon Keith Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2011
- Last updated
- Dec 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
Practice location
862 S Main StBrigham City, UT 84302-3320
Phone 435-723-1799
Mailing address
862 S Main StBrigham City, UT 84302-3320
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 149 Foster Care Agency providers in Brigham City · All 997 providers in Brigham City
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