SUCCESSOR HEALTHCARE LLC NPI 1619599503

NPI Information

SUCCESSOR HEALTHCARE LLC is an assisted living facility in Salt Lake City, UT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUCCESSOR HEALTHCARE LLC NPI is 1619599503. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Independent Living.

The provider's business location address is:

451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT
ZIP 84115-357
Phone: (801) 487-7557
Fax: (801) 487-1112

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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