State of Utah, Department of Health
NPI #1811504483 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1811504483
- Entity Type
- Organization
- Organization Name
- State of Utah, Department of Health
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Sep 28, 2020
- Last Updated
- Sep 28, 2020
Practice Location
- Address
- 288 N 1460 W
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84116-3231
- Phone
- (801) 273-2900
Authorized Official
- Name
- MYKIO SARACINO, MPA
- Title
- FINANCIAL MANAGER
- Phone
- (385) 228-4798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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