Organization
ILLUMINATE HOLDINGS LLC
Active
Organization
ILLUMINATE HOLDINGS LLC
Active
Other names
Illuminate Billing Advocates
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MANGUM CMHC (SVP)
(801) 793-0620
Entity
Organization
Contact information
Practice address
14884 S HERITAGECREST WAY STE D, BLUFFDALE, UT 84065-4840
(801) 793-0620
Mailing address
510 E SEGO LILY DR, SANDY, UT 84070-3546
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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