SUBTENANT 1430 EAST 4500 SOUTH LLC

Psychiatric Hospital

Active Organization
NPI: 1629129689

Practice Address

1430 EAST 4500 SOUTH
Salt Lake City, UT 84117

Phone: (801) 272-8000

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X No -
Psychiatric Hospital 283Q00000X Yes 2011-HOSP-100053 (UT)

Frequently Asked Questions

NPI 1629129689 is the National Provider Identifier for SUBTENANT 1430 EAST 4500 SOUTH LLC, a Psychiatric Hospital provider located in Salt Lake City, UT. This NPI was enumerated on January 16, 2007.

Quick Facts

NPI
1629129689
Type
Organization
Enumerated
Jan 16, 2007
Last Updated
Jul 26, 2016

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