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Contact Information

NORTH EASTERN SERVICES - LAKESIDE, INC.
443 COMMERCE RD
OREM, UT84058-5898
 Phone: 801-426-4961
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for NORTH EASTERN SERVICES - LAKESIDE, INC.

NPI Number 1528188661
LBN Legal business name NORTH EASTERN SERVICES - LAKESIDE, INC.
Authorized official CORY CRABB - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 5668189-0142
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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