MEDICARE: PAUL TONGA LANGI BACHELOR'S DEGREE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	311ZA0620X	Adult Care Home Facility	UT
2	251C00000X	Developmentally Disabled Services Day Training Agency	UT
3	104100000X	Social Worker	UT

General Provider Information

NPI Number	:	1275310468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL TONGA LANGI BACHELOR'S DEGREE

Provider Business Mailing Address
First Line	:	8304 S 5150 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84081-2707
Country	:	US
Telephone Number	:	801-472-0383
Fax Number	:

Provider Business Practice Location Address
First Line	:	8304 S 5150 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84081-2707
Country	:	US
Telephone Number	:	801-472-0383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	03/06/2026

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