Extended Family
Extended Family is a Foster Care Agency in Spanish Fork, Utah. Licensed in Utah. Registered with an NPI since 2013.
- Licensed in
- UT
- In the registry since
- 2013
Practice location Address checks out
704 N State Road 51Spanish Fork, UT 84660-1385
Phone: (801) 794-0318
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foster Care Agency (primary) | Taxonomy 253J00000X · Licence 21187 (UT) |
|---|
Record details
| NPI number | 1285065607 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terie Wiederhold — Administrative Director · (801) 794-0318 |
| NPI enumerated | December 11, 2013 |
| Last updated in NPPES | December 11, 2013 |
| Mailing address | 704 N State Road 51, Spanish Fork, UT 84660-1385 |
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Paul Kenneth Brimley
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Gregory Davidson
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Debra Martin
704 N State Road 51, Spanish Fork, UT 84660-1385 · (801) 794-0318