| NPI | 1639323280 |
|---|---|
| Former Legal Business Name | MAJESTIC OAKS FAMILY HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | LU ANN JACOBS-PETERSON Fnp 801-232-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: UT 219855-8900) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2010-04-02 |