Organization
SUCCESSOR HEALTHCARE LLC
Active
Other names
Marian Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
451 EAST BISHOP FEDERAL LANE, SALT LAKE CITY, UT 84115-2357
(801) 468-6856
(801) 468-6850
Mailing address
451 EAST BISHOP FEDERAL LANE, SALT LAKE CITY, UT 84115-2357
(801) 468-6856
(801) 468-6850
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
UT
Other
Enumeration date
01/26/2011
Last updated
12/03/2018
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