Caresource
NPI #1316490402 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1316490402
- Entity Type
- Organization
- Organization Name
- Caresource
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 26, 2016
- Last Updated
- Jul 26, 2016
Practice Location
- Address
- 1624 E 4500 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-4212
- Phone
- (801) 266-7200
Authorized Official
- Name
- SHAWNTEL TANNER, MA, SSW
- Title
- CEO
- Phone
- (801) 266-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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