Jacob Brown

NPI 1285041970 · on the registry since 2014 · sole proprietor

Practice

Address: 704 N State Road 51
Spanish Fork, UT 84660
Phone: (801) 794-0318
Organisation at this address: Extended Family
Magellan Academy, Inc
Extended Family, Inc.
Extended Family Boys, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Foster Care Agency
253J00000X
Sex: Male
Record last updated: 2014-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah