NPI 1811504483
State of Utah, Department of Health
Practice location
- Address
- 288 N 1460 W, Salt Lake City, UT 84116-3231
- Phone
- (801) 273-2900
- Mailing address
- PO Box 144720, Salt Lake City, UT 84114-4720
Authorised official
- Name
- Mykio Saracino
- Title
- Financial Manager
- Phone
- (385) 228-4798
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1811504483
- Entity type
- Organization
- NPI issued
- 28 Sep 2020
- Record last updated
- 28 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.