Organization
STATE OF UTAH, DEPARTMENT OF HEALTH
Active
Organization
STATE OF UTAH, DEPARTMENT OF HEALTH
Active
Other names
San Juan Baby Watch Early Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
MYKIO SARACINO MPA (FINANCIAL MANAGER)
(385) 228-4798
Entity
Organization
Contact information
Practice address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
(801) 273-2900
Mailing address
PO BOX 144720, SALT LAKE CITY, UT 84114-4720
(801) 273-2900
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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