Illuminate Holdings Llc | |
14884 S Heritagecrest Way Ste D Bluffdale UT 84065-4840 | |
(801) 793-0620 | |
Not Available |
Full Name | Illuminate Holdings Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 14884 S Heritagecrest Way Ste D, Bluffdale, Utah |
Authorized Official Name and Position | Shelley Mangum (SVP) |
Authorized Official Contact | 8017930620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illuminate Holdings Llc 510 E Sego Lily Dr Sandy UT 84070-3546 Ph: () - | Illuminate Holdings Llc 14884 S Heritagecrest Way Ste D Bluffdale UT 84065-4840 Ph: (801) 793-0620 |
NPI Number | 1285315176 |
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Provider Enumeration Date | 07/25/2023 |
Last Update Date | 07/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285315176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
News Archive
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› Verified 7 days ago
Families First Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13825 S Redwood Road, Suite 100, Bluffdale, UT 84065 Phone: 801-254-9700 Fax: 801-254-9755 |